CD66
REUNION QUESTIONNAIRE/ORDER FORM PLEASE PRINT (Complete even if you can't attend)
NAME: First____________________
Maiden_________________ Last_________________________
Street Address_____________________ City_____________________State______ Zip___________
Home Phone #(________)______________________ Work Phone #(________)__________________
E-Mail Address:_____________________________________________________________________
ARE YOU ATTENDING?
Yes_____ No_____ ARE YOU BRINGING A GUEST? Yes_____ No_____
Are you planning
on staying at the hotel? Yes_____ No_____ If Yes, how many nights? ______
For room rates, call the Don
Shula's Hotel & Golf Resort... at (305) 821-1150
& mention A.
Curley/N. Dame Classes of '65-'67.
**Deadline for hotel reservations is June 15, 2001.**
Occupation_____________________________Place
of Employment___________________________
Are you Married? Yes_____
No_____ Date Married_________/__________/__________
SPOUSE INFORMATION
Name: First_____________________
Maiden______________________ Last____________________
Spouse's High School __________________________________________
Grad Year______________
Children (incl
ages)___________________________________________________________________
Most Vivid High School Memory_________________________________________________________
___________________________________________________________________________________
YOUR MIDDLE NAME________________
BIRTH DATE____________ S.S. #___________________
PERMANENT CONTACT: NAME______________________________
Phone#___________________
ADDRESS_____________________________ CITY____________________
STATE___ ZIP________
ARCHBISHOP
CURLEY - NOTRE DAME '65-'67
ORDER FORM
Please make a copy for your records before mailing.
If you fax your credit card payment, please DO NOT mail the original.
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REUNION
TICKETS
Per person / Complimentary Program Book for Grad only |
REUNION
BOOK ADS
Must be camera ready (black & white). |
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Ads
and ad payments are due upon ordering.
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#Att.
Saturday (book incl)______ x 85.00/each
= _______
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Full Page Ads (8½ x 11)
_____ x 75.00/ea=_______ |
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½ Page Ads
______ x 50.00/ea =______ |
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1/4 Pg. or Business Card
______x 35.00/ea =______ |
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REUNION
SOUVENIRS
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Personal Dedications (60 spaces)
____ x 20.00/ea =______ |
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Extra Books (incl tax & s/h) _____x 15.72/each =__________
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REUN. TICKETS $______ + REUN. SOUVENIRS $______ + REUN. BOOK ADS $_______ = TOTAL DUE _________
Make
checks payable to First Class Reunions or pay in full by credit card
Signature required for processing.
You will receive your tickets at the reunion.
Select One: VISA___ MASTERCARD___ Card #_____________________________ EXP.________
Name that appears on card (please print)__________________________________________________
I hereby authorize First Class Reunions Inc. to charge my credit card for the above amount. Cancellations will be accepted in writing until May 28, 2001. All refunds are subject to a 15% administrative processing charge. Refunds are processed after the reunion. No exceptions.
Signature________________________________________________________________
(CD66)
7/01
First Class Reunions
5440 NW 33rd Ave. Suite 103
Fort Lauderdale, FL 33309
Local: (954) 485-4723
Toll Free: 1 (800) 741-4723
Fax: (954) 735-6609