KILL93
REUNION QUESTIONNAIRE/ORDER
FORM
PLEASE PRINT
(Complete even if you can't attend)
NAME: First______________________________________Middle ____________________________
Maiden___________________________________Last_____________________________________
Street Address______________________________________________________________________
City_____________________________________________State____________ Zip______________
Home Phone #(________)______________________ Work Phone #(________)__________________
E-Mail Address:_______________________________________Fax #_________________________
Birth Date_______________________ S.S. #___________________________Grad Year________
ARE YOU ATTENDING? Yes_____ No_____ ARE YOU BRINGING A GUEST? Yes_____ No_____
Name of Guest______________________________________________________
Are you planning
on staying at the hotel? Yes_____ No_____ If Yes, how
many nights? ______
For room rates, call the Wyndham
Miami Beach Resort... at (305) 532-3600 & mention Miami Killian Class of
1993.
**Deadline for hotel reservations is July 4, 2003.
Availability
on a first come, first served basis**
Occupation_____________________________Place
of Employment___________________________
Most Vivid High School Memory_________________________________________________________
___________________________________________________________________________________
SPOUSE INFORMATION
Date Married_________/__________/__________
Name: First_____________________
Maiden______________________ Last____________________
Spouse's High School __________________________________________ Grad Year______________
Children(s) Name(s)(incl
ages)_________________________________________________________
___________________________________________________________________________________
MIAMI
KILLIAN 1993
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 80.00/each = _______ |
#
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 17.00/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 and Requests for Refunds will be accepted in writing until June 16 , 2003, by Certified Mail. All refunds are subject to a 15% administrative processing charge. Refunds are processed after the reunion. No exceptions.
Signature__________________________________________________________
(KILL93)
8/03 12/19/2002
First Class Reunions
7040
W. Palmetto Park Rd. Suite 4-304
Boca Raton, FL 33433
Toll Free: 1 (800) 741-4723
Fax: (561) 362-4993