NAME:

MAIDEN NAME: (if applicable)

ADDRESS:

CITY, STATE (or Country), ZIP:

SPOUSE’S NAME:

SOCIAL SECURITY NUMBER: (optional)

EMAIL ADDRESS:

HOME PHONE:

(If NOT OK to include in directory, check here)

WORK PHONE:

(If NOT OK to include in directory, check here)

CLASS:

YEARS AT HAHN (i.e., 1975-1979)

DID YOU GRADUATE FROM HAHN or WIESBADEN? YES NO

OTHER OVERSEAS SCHOOL ATTENDED:

*PERMANENT ADDRESS: (Optional - name and complete mailing address of a parent or other person whose address is more permanent than your mailing address above):

YES, I would like to join the association, my $20.00 membership fee is enclosed, please send me my directory and newsletters and add me to the database.

NO, I do not wish to become a member of the association at this time, but please add me to your mailing list and add me to your database.

Please remove my name and address from the directory, but keep me on your mailing list for any updates on future reunions, etc.

I would like to order the Association Directory for only $10.00

I would like to order copies of DER HABICHT for only $10.00

PLEASE MAKE CHECKS PAYABLE TO: HAHN ALUMNI ASSOCIATION MAIL TO: Hahn Alumni Assn Attn: Debby Swearingen 811 Poinciana St. Rockledge, FL 32955 **PLEASE list the names/addresses of any brothers/sisters, classmates, faculty members, etc., who you have kept in touch with over the years.