Santa Rosa High School Foundation

Annual Membership Form

* Required Fields

SRHSF Membership Level
Amount :
New or Renewal:

Member Contact Information
* First Name
* Last Name
Maiden Name
Spouse/Partner Name
* Address
* City
* State
* Zip Code
Home Phone
Cell Phone
* Email
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Please tell us about your relationship to SRHS
SRHS Alumni		Graduation Year(s)
Parent/Grandparent
SRHS Staff
Friend

Credit Card Information
* Card Holder Name

* Card Account Number
Expiration Date
* Security Code The 3 or 4 digit Security Code (CVV2) can be found on the back of your credit card. For American Express, the Security Code (CID) can be found on the front of the card.

Billing Address
Same As Above
* Address
City
State/Province
* Zip/Postal Code
Email

Thank you! for supporting the SRHS Foundation, a non-profit 501c3 public benefit corporation.
The Foundation’s tax id number is 68-0195375.

Once a Panther, Always a Panther!

Visit us Online at srhsf.org

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Santa Rosa High School Foundation

Annual Membership Form

Once a Panther, Always a Panther!

SRHS Foundation ~ PO Box 11006, Santa Rosa, CA 95406(707) 571-SRHS (7747) ~ [email protected]

SRHS Foundation ~ PO Box 11006, Santa Rosa, CA 95406
(707) 571-SRHS (7747) ~ [email protected]