CHAM85
REUNION
DIRECTORY INFORMATION / ORDER FORM
( You can print this form by pressing control P. )
PLEASE PRINT (Complete & Send In, Even If You Can't Attend, to Be Included in the Program Book)
FULL NAME:
First Name________________________________Middle Name_______________________
Maiden or Last Name__________________________Married Name __________________________
Vital Info:Street Address______________________________________________________________________
City_____________________________________________State____________ Zip______________
Home Phone #(________)______________________ Work Phone #(________)__________________
E-Mail Address:_______________________________________Fax #_________________________
Birth Date__________________________________________________Grad Year________
Occupation_____________________________Place
of Employment___________________________
SPOUSE / PARTNER INFORMATION Are you Married? Yes __ No __ 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? ______
CHAMINADE
MADONNA 1985
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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Full Page Ads (8½ x 11)
___ x 75.00/ea= _______ |
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#Att.
Saturday ( book incl) ____ x100.00/each
= _______
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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
20.00/each =__________
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BOOKS ARE SHIPPED 12-14 WEEKS AFTER THE REUNION
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REUN.
TICKETS $______ + REUN. BOOK $______ + REUN. BOOK
ADS $_______ = TOTAL DUE _________
BOOKS WILL
BE SHIPPED 12-14 WEEKS AFTER THE REUNIION
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.
********WE MUST HAVE YOUR ADDRESS TO CHARGE YOUR CREDIT CARD********
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 August 12 , 2005, by Certified Mail. All refunds are subject to a 15% administrative processing charge. Refunds are processed after the reunion. No exceptions.
Signature__________________________________________________________ (CHAM85)
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