| Name: |
__________________________________________________ |
Graduation year or the years your kids were in band: |
________________ |
| Email address: |
__________________________________________________ |
| Address: |
__________________________________________________ |
| City, State ZIP |
__________________________________________________ |
| Phone number: |
__________________________ |
| Current employment/school: |
__________________________________________________ |
| Leadership interest? |
Yes / No |
| Newsletter interest? |
Yes / No |
Would you like to be registered for the Milford Band Boosters email list? |
Yes / No |
| Method of Payment: |
Cash / Check (made payable to: MBB) |