Membership Pledge Form

Yes! I'd like to be a part of the Foundation's good work by my membership!

____   General Member $25
____   Scottie (Includes Scotty Classmates Network & full acess to Net-Member site) $101-500
____   Highlander (Includes Scotty Classmates Network & full acess to Net-Member site) $501 & Above
____   Alumni Member Year of Graduation (i.e., class of 1995 pays $19.95)

Yearly membership expires each June 30th.

Donations will fund:

Please print and send in this pledge form with the below information! Make a difference! Contribute now!
Please write your name and you want it to appear on the donor list: (all required fields, thank you)

Name__________________________________________________________________
            Last                                                        First

Address________________________________________________________________

City____________________________________________________________________

State________________________________ Zip________________________________

Phone__________________________________________________________________

Email___________________________________________________________________

Graduating Class______________________

____ Please contact me for a company match.
Make your check payable to:
THE HELIX HIGH FOUNDATION
7323 University Avenue
La Mesa, California 91941

Scottie & Highlander Levels ONLY: (please fill out for your Net-member user name and password)

User Name(5 characters or more):_____________________________________

Password(6 characters or more):______________________________________