BHS CHOIR BOOSTER ORGANIZATION

MEMBERSHIP FORM

Name ____________________________________

Address __________________________________________

Phone _____________

Name of Student ___________________________________

___ Individual/Family Membership $15.00

___ Business Membership $25.00

Scholarship Fund Donation: If you would like to make a donation to the Scholarship Fund please add it to your check and write in amount here __________.

*Please make checks payable to BHS Choir Boosters and return this form to Jerry Scott at Bolivar High School.

THANK YOU FOR YOUR SUPPORT!