REUNION OF THE AGES
July 26, 27, 28, and 29, 2012
EVENT REGISTRATION FORM
Registration begins January 1, 2012
All events will be held at MAIN STAY SUITES, 410 Pine Mountain Rd., Pigeon Forge, TN
PLEASE PRINT CLEARLY OR TYPE
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Last Name
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First Name |
Middle Initial |
Maiden Name
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Street / P.O. Box No.
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City |
State |
Zip Code |
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Area Code + Home Phone No.
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Area Code + Cell Phone |
E-mail address |
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Reunion Associated school / institution attended
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Date(s) attended / graduated
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Reunion Associated school / institution attended
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Date(s) attended / graduated
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Reunion Associated school / institution attended
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Date(s) attended / graduated
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REGISTRATION FEES: Please indicate which events you will attend
Event Member Non-Member Total
TOTAL PACKAGE: includes admission to all events with food,
a free t-shirt, goodie bag, and address cards......................... q-$125.00...... q-$145.00......
PARTIAL PACKAGE - does not include extras that come with the total package
q - Banquet .............................................................................. q-$ 45.00....... q- $ 55.00......
q - Welcome Party .................................................................. q-$ 25.00....... q- $ 25.00......
q - Friday Breakfast with business meeting ........................... q-$ 25.00....... q- $ 25.00......
q - Old School party and dinner .............................................. q-$ 35.00....... q- $ 40.00......
If NOT selecting the total package, you may purchase souvenir items below:
q - Commemorative Cap ........................................................ q-$15.00........ q-$ 15.00.......
q - *T-shirt (if NOT paying for total package) ......................... q-$15.00........ q-$ 15.00.......
If you have NOT paid your annual membership, you may choose to pay now:
q - Membership fee ............................................................................................ q-15.00..........
T-shirt size(s) must be checked below. If no size is checked, you WILL receive a size large (L).
No changes/substitutions will be made at the reunion event.
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T-Shirt Size (please circle size needed) |
XS |
SM |
MED |
LG |
1X |
2X |
3X |
4X |
TOTAL AMOUNT OF REGISTRATION FEES MUST BE REMITTED WITH THIS FORM
Make checks/money orders payable to REUNION OF THE AGES. (Your cancelled check will be your receipt)
Payment and completed registration form should be mailed, BEFORE JUNE 30, 2012, TO:
Reunion of the Ages
P.O. Box 1751
Morristown, TN 37816-1751
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FOR REUNION OF THE AGES USE ONLY: Date Received: _____________________ Check No. ____________ amount $_____________ Money Order _____________ amount $________________ Registration No. ____________ Total Amount Received $ ________________
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