WESTRN83
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 Resort & Spa...At
954-389-3300 & mention
Western
High Class of 1983.
**Deadline for hotel reservations is May 9, 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)_________________________________________________________
___________________________________________________________________________________
WESTERN
HIGH SCHOOL 1983
ORDER
FORM
Please make a copy for your records before mailing.
If you fax your credit card payment, please DO NOT mail the original.
|
REUNION
TICKETS
Per person / Complimentary Program Book for Grad only |
REUNION
BOOK ADS
Must be camera ready (black & white). |
|
#Att.Full
Wknd (book incl) ____ x 115.00/each = ______
|
Ads
and ad payments are due upon ordering.
|
|
#Att.
Saturday only (book incl) ____ x 95.00/each =
_______
|
#
Full Page Ads (8½ x 11)
___ x 75.00/ea= _______ |
|
#Att.
Sunday only (book extra) ____ x 25.00/each = _______
|
#
½ Page Ads
______ x 50.00/ea =______ |
|
#
Kids (0-3) Att. Sunday ____ = Free
|
#
1/4 Pg. or Business Card
______x 35.00/ea =______ |
| # Kids (4-10) Att. Sunday ____ x 10.00/each = _______ |
#
Personal Dedications (60 spaces)
____ x 20.00/ea =______ |
|
#
Kids (11-17) Att. Sunday ____ x 15.00/each = _______
|
REUNION SOUVENIRS |
|
#
Kids (18+) Att. Sunday ____ x 25.00/each = _______
|
# Extra
Books (incl tax & s/h) _____ x 17.00/each =__________ |
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|
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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 April 21, 2003, by Certified Mail. All refunds are subject to a 15% administrative processing charge. Refunds are processed after the reunion. No exceptions.
Signature__________________________________________________________
(WESTRN83)
6/03 2/15/2003
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