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St. Vincent School of Nursing Alumni Association

Dues Notice 2019
$15.00
Name __________________________________________________________Class_________
Last, First, Maiden

Address ______________________________________________________________________
Number and Street, City, State, Zip Code


**Perpetual Members are not required to pay dues, BUT your contribution is greatly appreciated
(Perpetual Members are those that have been members for 50 years or more).

DONATIONS appreciated to the following:


$_____________________ Consolidated Scholarship Fund

$_____________________ Postage

$_____________________ Baillet

$_____________________ Bakeless Bake Sale

$_____________________ Other
Return To:
St. Vincent School Of Nursing Alumni Association
Jan Blaszczyk
5864 Tetherwood
Toledo, OH 43613
(Please Copy, Print & Return This Form With Payment)
Checks Payable to St Vincent Alumni Association