Membership Information

                       Membership Form 

   Membership Type:

   Individual Membership ($60.00): any/all ex IMT students.

  Associate Membership ($30.00): Friends/all parties interested in the common good.

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Date______________________

Name_____________________________________________________

Class of_______________________

Address___________________________________________________

City/State/Zip______________________________________________

Home Phone__________________________
Cell Phone____________________________

Email_________________________________

Amount Paid___________________

Mail Address:

I. M. Terrell Alumni Association

PO Box 15462

Ft. Worth, TX 76119

For more information email: imterrellhs@yahoo.com

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