This form is on a seperate webpage to facilitate its printing. (updated on
8/13/01)
Name:
______________________________________________________________
Maiden Name:______________________________
Street:_________________________________________________________
Town/State/Zip:__________________________________________________
Phone:____________________________________
Fax:______________________________________
E-mail
address:_______________________________________________________
Class of:____________________
Amount Enclosed: $__________________________
Minimal donation to the Association is $15.00.
(make check payable to: MPHS Alumni Association, Inc.)
Your donation will help to defray the cost of publishing the bi-annual
newsletter and postcard address verification mailings.
If you would also like to donate directly to the Scholarship Fund (we are
now a 501(c)(3) non-profit org.), click here.
Send this form with your donation to:
MPHS Alumni Association, Inc.
126 Paterson Avenue
Midland Park, NJ 07432-1846
QUESTIONNAIRE
1.) Have you ever received a copy of The Panthers' Lair newsletter?
(Y/N) _____
2.) If so, was your address correct? If not, please make the necessary
changes.
3.) Would you be available to serve on any committees of the association
in the near future? (Y/N) ________
If yes, indicate where you think you could best serve: (check one
or more)
Scholarship Committee
Annual Dinner Event Committee
Newsletter Staff
Fundraising Committee
Data Entry
Mentoring Program Volunteer
"Lost Panther" Searching
4.) Would you be interested in attending our annual Beefsteak
Fundraising Dinner around March/April 2002? (Y/N) __________
If you have any comments and/or suggestions concerning the Alumni Association,
please feel free to do so. We NEED your input!
Comments? E-mail us
Thanks!
Visitors to this page since 9/13/98