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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
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Please return with your check to:
DARTMOUTH 1965
Stephens Fowler, Treasurer
6068 Blunt Alumni Center, Rm.
309
Hanover, NH 03755-3590
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