Dues Payment Form

Here is my Smith College Class of 1969 dues payment for 2019-2024:

______ $75.00 for the 5-year term

______ $20.00 for one year

Total: $ _____ made payable to Smith College Class of 1969

Name:   ______________________________________________

Undergraduate Name: ______________________________________________

Mailing Address: ______________________________________________

E-mail for receipt of your tax-deductible contribution: ____________________________________

Questions?      Contact Carolyn White Wallis at Wallis.carolyn@gmail.com or 610-716-7961

Address: PO Box 724

Vineyard Haven Ma. 02568