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Class Dues Form -- TEST
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You may use the form below to pay your Class dues if you have not already done so.  The dues year runs from July 1 to June 30 and two notices have previously been sent by mail.  $20.00 of the dues amount will be placed in the Class of 1965 Scholarship Fund, but we encourage you to consider donating an additional amount to the Scholarship Fund, as many Classmates have been doing. 


To pay your dues, print out this form, fill in your name, and send it to the address noted on the payment portion.  Thank you for participating




Your Class Dues covers your subscription to the Dartmouth Alumni Magazine,

Class mailings and other Class activities.


Please be sure your check is signed and dated.


Please make the check payable to Class of 1965. 




Please tear off bottom portion and return with your payment or donation.


Please make check payable to: Class of 1965


Your Name             ________________________

Address                  ________________________ 




Class dues for the year 2002 / 2003            $60.00

1965 Scholarship fund                                 ______


Total                                                           =====



Please return with your check to:



Stephens Fowler, Treasurer

6068 Blunt Alumni Center, Rm. 309

Hanover, NH  03755-3590