Please PRINT & fill this form out. Then mail this form with payment to the address listed below.

 ___ 1 Year $25.00       ___ 2 Years $45      ___ 3 years $60.00     ___Lifetime $500




 State_________________________________________________   Zip_____________


 RBHS Class of______________   *OR*   Friend of RBHS (mark here) ______________

 Membership contribution                               $________________________________

 Additional contribution to further
 help the Foundation reach its
 goals of supporting RBHS                             $________________________________

 Total contribution                                         $________________________________    

 Billing Information
 Please make check payable to "RBHS Foundation" and send it to:

 Rainier Beach High School
 8815 Seward Park Ave S
 Seattle, WA 98118