Murphy High School
Alumni Association
P.O. Box 66158
Mobile, Alabama 36660

MEMBERSHIP APPLICATION
(Membership Dues are renewable annually in January)

Name ______________________________________________________________ Class of  ______________________________

Address ___________________________________________________________________________________________________

City State Zip________________________________________________State_____________________Zip___________________

Home Telephone (       ) _______________________________________ Work Telephone (        )___________________________

Email Address _____________________________________________________________________________________________

Yearly Membership Selection:

______Current Year Graduate – Receives newsletter, FREE

       ______ Panther Level –  $25 for individual or $35 per couple - Receives Newsletter & Alumni Certificate

       ______ Blue Level –  $50 individual - Receives Newsletter, Certificate, & Alumni Association Lapel Pin

       ______ Gold Level –  $100 individual - Receives Newsletter, Certificate, Lapel Pin, & Alumni Paperweight

       ______ Tower Level – $250 individual - Receives Newsletter, Certificate, Lapel Pin, Paperweight, & one Memorial Brick


       ______ I wish to send a membership to the person named above. (I will notify the alumni or
                   friend my gift has been donated. I understand the Alumni Association will not notify
                   the person of my gift.)

Return completed membership form along with your check to:
Murphy High School Alumni Association
P.O. Box 66158
Mobile, Alabama 36660