Lambda Epsilon Omega - Application for Membership

Membership dues are $20 annually (payable on a rolling calendar basis).

Name_________________________________________________

Address_______________________________________________

______________________________________________________

Phone_________________________________________________

Email_________________________________________________

Graduation year from BHS________________________________

or years attended BHS (for non-graduates)_________________

Check all that apply:

____Please keep me informed of meetings and other activities.

____I have ideas or suggestions:____________________________

_______________________________________________________

_______________________________________________________

_______________________________________________________

Make checks payable to: Lambda Epsilon Omega   (or LEO)

Mail to:  Deb Thompkins Lowry
               15207 Bexley Pl.
               Charlotte, NC  28227

And thank you for your interest and support!