MIABCH85

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)_________________________________________________________

___________________________________________________________________________________

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? ______

 

MIAMI BEACH 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.

 

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 90.00/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 20.00/each =__________
  
 
   
   

REUN. TICKETS $______ + REUN. SOUVENIRS $______ + 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 27 , 2005, by Certified Mail. All refunds are subject to a 15% administrative processing charge. Refunds are processed after the reunion. No exceptions.

Signature__________________________________________________________ (MIABCH85)

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