Ceres Alumni Association

YOUR COMMUNITY ORGANIZATION

P. O. Box 32

Ceres, VA 24318

E-mail: ceres_alumni_association@hotmail.com or info@ceresva.org

Membership Application - Please print, fill out, and mail back to us

Name: _____________________________________________________________  

Phone: ___________________________

Address:   __________________________________________________________

__________________________________________________________

E-mail address: ______________________________________________________

Dues enclosed: _____ $25.00 for one calendar year _____ $100 for five years

I (would) (would not) be willing to serve on a committee.