MEMBERSHIP APPLICATION
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DATE SUBMITTED
MEMBERSHIP STATUS
New Member
Renewal
Active/Current
TYPE OF MEMBER
Alumni
Current Student
Faculty/Staff
Affiliation
PURPOSE
Address Change
Dues Payment
Donation
NAME
*
First
Last
ADDRESS
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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HOME PHONE
EMAIL
*
CELL PHONE
SOCIAL MEDIA
PREFERRED CONTACT
Mail
Email
Text
Other (List in Specify Section)
MEMBERSHIP
Lifetime Membership $200 – Can be paid in 2 installments of $100.00 in the same year.
5-year Membership – $40
3-year Membership – $25
DONATION DESIGNATION
Scholarship Fund
Special (List in Specify Section)
DETAILS: (Contact/Affiliation/Special)
Please make TAX DEDUCTIBLE check/money order payable to FHHSAA
Mail to: FHHSAA / P.O. Box 6753 / Capitol Heights, MD 20791
or: Electronic Payment via CashApp: $fhhsaa2727
Please join one of the committees listed below. Refer to website for committee function.
Constitution & Bylaws
Budget
Historical
Legacy
Membership
Memorial Service
Nominating
Scholarship
Ways & Means
Athletic Hall of Fame
Please share your profession/unique skills
Website:
https://fhhsaainc.com
| Email:
alumni@fhhsaainc.com
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