FFA Alumni Association - Pennsylvania FFA Association



|FFA Alumni Association |     |Membership Roster |      | |

| | | |PREPARER’S NAME & PHONE NUMBER | |

|Affiliate Number: |

|INSTRUCTIONS: 1) Verify information for each member, make corrections directly on the roster. For each member renewing, write dollar amounts in applicable columns. 2)Draw a single line through names of those who are |

|No longer members. 3) List new members at the end of the roster or on a blank roster. Please be sure and include complete mailing address. |

|Member Number |Last Name |First Name |Street Address |City |ST |Zip Code |New Visions |

| | | | | | | |Newsletter |

| | | | | | | |Y/N |

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