Membership / Address Change Form

(please print)

Name:_____________________

Address:_________________________________________________
(where you prefer to receive LSAAA mailings)

City:______________ State:____ Zip:______________

Home Phone:_(_____)_____________________

Business Phone:_(_____)_____________________

E-mail Address:__________________________

Year graduated from Leadership San Angelo________

Please change my address with LSAAA as indicated above.

Enclosed is my $25 check for LSAAA membership through July of next year.

I would be interested in serving on the LSAAA board or as a volunteer for a project.

Please print and mail to:
Leadership San Angelo Alumni Association
c/o San Angelo Chamber of Commerce
418 West Ave B
San Angelo, TX 76903