Dartmouth Class of 1996 - Secure Dues Payment Form

Donation Level	Selection	Amount (USD)
Individual Dues Select This if only 1 family member is a member of the Class of 1996		$ 40.00
Family Dues Select This if both partners are members of the Class of 1996 Please include names of both '96 classmates		$ 50.00
Super Supporter If you feel like you can and want to do more!		$ 96.00