LINC84
REUNION QUESTIONNAIRE/ORDER
FORM
PLEASE PRINT
(Complete even if you can't attend)
REUNION
DIRECTORY INFORMATION
NAME: First Name________________________________Middle Name_______________________
Maiden or Last Name__________________________Married Name __________________________
Street Address______________________________________________________________________
City_____________________________________________State____________ Zip______________
Home Phone #(________)______________________ Work Phone #(________)__________________
E-Mail Address:_______________________________________Fax #_________________________
Birth Date_______________________ S.S. #___________________________Grad Year________
Occupation_____________________________Place
of Employment___________________________
Most Vivid High School Memory_________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
SPOUSE / PARTNER INFORMATION Date Married_________/__________/__________
Name: First_____________________
Maiden______________________ Last____________________
Spouse's High School __________________________________________ Grad Year______________
Children(s) Name(s)(incl
ages)_________________________________________________________
___________________________________________________________________________________
Name of Guest______________________________________________________
Are you planning
on staying at the hotel? Yes_____ No_____ If Yes, how many nights? ______
Call the Radisson...AT 850-224-6000 for room rates. Be sure to mention
that you are with the Lincoln Class of 1984.
Deadline for hotel reservations is May 7, 2004. Availability on a first come,
first served basis.
LINCOLN
HIGH 1984
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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#Att.Full
Wknd (incl book) ____ x 100.00/each = ______
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Ads
and ad payments are due upon ordering.
|
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#Att.
Friday only ( book extra) ____ x 40.00/each =
________
|
#
Full Page Ads (8½ x 11)
___ x 75.00/ea= _______ |
|
#Att.
Saturday only ( book incl) ____ x 70.00/each =
_______
|
#
½ Page Ads
______ x 50.00/ea =______ |
|
#
1/4 Pg. or Business Card
______x 35.00/ea =______ |
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REUNION
SOUVENIRS
|
#
Personal Dedications (60 spaces)
____ x 20.00/ea =______ |
|
#
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 April 18 , 2004, by Certified Mail. All refunds are subject to a 15% administrative processing charge. Refunds are processed after the reunion. No exceptions.
Signature__________________________________________________________
(LINC84)
6/04 12/16/2004
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