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Membership Form
Make check payable to C E Byrd Alumni
Association
3201 Line Ave
Shreveport, LA 71104
Alumni Number________________
Year of Graduation_____________
Name_____________________________________________
First
Maiden
Last
Address_____________________________________________
Street
City State
Zip
Home Phone_______________________
Bus Phone_________________________
Cell Phone__________________________
E-Mail Address_____________________________________
Dues $20.00
Lifetime Dues $200.00
Memorials
Donations FRIENDS OF BYRD $50.00
PURPLE JACKETS $100.00
GOLD JACKETS $200.00
TOP JACKETS $500.00
Two issues of Alumni High Life a year
Expenses to maintain Alumni Office
Internet and E-Mail facilities
Designer: Charles Greene Edited 07/20/2009