ST. LOUIS ALUMNI ASSOCIATION
                                                        P.O. BOX 493
                                               Biddeford, Maine 04005
                                Tel. (207) 282-2285     stlouis@gwi.net

                             APPLICATION FOR MEMBERSHIP

First________________M/I____Last_________________________________

Address_________________________________________________________

City___________________ State_______________ Zip Code_______________

Tel._____________________E-Mail__________________________________

High School attended_______________________________________________

City/State of High School____________________________________________

Year graduated___________________

Signature_________________________________________________________

Membership Committee Approval

1.        1. ___________________  2.  __________________ 3  _____________________

Date Approved _____________________________

Instructions:

Please print this application, fill in the information requested, and mail to:
                St. Louis Alumni Association
                PO Box 493
                Biddeford, Maine 04005
                Attn: Membership Committee

For male graduates of other than St. Louis High School, also submit $10.00 annual dues to
St. Louis Alumni Association.