MIABCH94

REUNION DIRECTORY INFORMATION
PLEASE PRINT (Complete & Send In, Even If You Can't Attend, to Be Included in the Program Book)


Full Name:(If you would like your name & vital info omitted from the reunion directory, please inform us, we respect your privacy)

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)_________________________________________________________

___________________________________________________________________________________

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 Wyndham Miami Beach...At 305-532-3600, between 8am & 5pm and mention that you are with the Miami Beach Class of 1994. Deadline for hotel reservations is September 20, 2004. Availability on a first come, first served basis.

MIAMI BEACH 1994 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).
 
Ads and ad payments are due upon ordering.
#Att. Saturday ( book incl) ____ x 80.00/each = _______
# Full Page Ads (8½ x 11)
                                 ___ x 75.00/ea= _______
# ½ Page Ads
                           ______ x 50.00/ea =______
 
# 1/4 Pg. or Business Card
                             ______x 35.00/ea =______
REUNION SOUVENIRS
# Personal Dedications (60 spaces)
                                 ____ x 20.00/ea =______
# Extra Books (incl tax & s/h) _____ x 17.00/each =__________
  
 
   
   

REUNION TICKETS $______ + REUNION SOUVENIRS $______ + REUNION 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 September 23, 2004, by Certified Mail. All refunds are subject to a 15% administrative processing charge. Refunds are processed after the reunion. No exceptions.

Signature__________________________________________________________ (MIABCH94/04)

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