HIAL65-66
REUNION
DIRECTORY INFORMATION / ORDER FORM
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? ______
HIALEAH 1965-66
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 Weekend ( book incl) ____ x 135.00/each = _______ |
Ads
and ad payments are due upon ordering.
|
| #Att. Friday ( book extra) ____ x 60.00/each = _______ |
#
Full Page Ads (8½ x 11)
___ x 75.00/ea= _______ |
|
#Att. Saturday ( book incl) ____ x 90.00/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
20.00/each =__________
|
|
|
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 April 29, 2005, by Certified Mail. All refunds are subject to a 15% administrative processing charge. Refunds are processed after the reunion. No exceptions.
Signature__________________________________________________________ (HIAL65-66)
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