Class of 1983: Reunion Registration Form - Alumni
Class of 1983: Reunion Registration Form - Alumni
Class of 1983: Reunion Registration Form - Alumni
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<strong>Class</strong> <strong>of</strong> <strong>1983</strong>: <strong>Reunion</strong> <strong>Registration</strong> <strong>Form</strong>Register online at www.alumni.cornell.edu/reunion or return this completed form with payment by May 24, 2013 to:Cornell <strong>Class</strong> <strong>of</strong> <strong>1983</strong>, <strong>Alumni</strong> Affairs, P.O. Box 6554, Ithaca, NY 14851-6554Visit our class website at class<strong>of</strong>83.alumni.cornell.eduVisit our Facebook page at facebook.com/Cornell<strong>Class</strong>Of<strong>1983</strong>For <strong>Reunion</strong> Information: Carin (Lewis) Evans, <strong>Registration</strong> Chair: carin.evans@verizon.net, 212-679-8014Susan (Wasserman) Guerin, <strong>Reunion</strong> Co-Chair: sguerin62@gmail.com, 201-306-5521Andy Sosa, <strong>Reunion</strong> Co-Chair: jas247@cornell.edu, 703-346-3323<strong>Class</strong>mate Information2013First Maiden (if applicable) LastPlease print your name as you would like it to appear on your button; we encourage inclusion <strong>of</strong> maiden name.Street address City State Zip CodePreferred phone Mobile phone (used only during <strong>Reunion</strong> weekend) Vehicle license plate number (for <strong>Reunion</strong> weekend)College E-mail address Cornell Net ID (found on mailing label)Check here if this is a new address or phone number.Emergency Information: For use during the <strong>Reunion</strong> weekend. Must list someone NOT accompanying you to Ithaca.Emergency contact name Preferred phone RelationshipDuring <strong>Reunion</strong>, your picture may be taken by a University Photography staff member and possibly used for future Cornell-related media purposes. If you donot want your image used, you are responsible for notifying the photographer at the time the photo is taken. University Photography will delete the image onthe spot.I agree to have my name listed on the class and university website as attending <strong>Reunion</strong>. Yes NoThis is my_________Cornell <strong>Reunion</strong>! (first, second, etc.)If you or your guest have special medical or mobility needs, please contact your registration chair.Guest InformationPlease print your name as you would like it to appear on your button.Guest If Cornellian: maiden name (if applicable), class, and college Cornell Net IDGuest If Cornellian: maiden name (if applicable), class, and college Cornell Net IDChild Age (as <strong>of</strong> 06/06/13) Child Age as <strong>of</strong> (06/06/13)Child Age (as <strong>of</strong> 06/06/13) Child Age as <strong>of</strong> (06/06/13)Expected Arrival Date/TimeNo check-ins before noon Thursday, please.ARRIVAL DAY: Thurs. Fri. Sat. Time: 9 a.m.–2 p.m. 2–5 p.m. 5–9 p.m. after 9 p.m.MealsFor special dietary needs, please specify.# <strong>of</strong> Kosher ________________ # <strong>of</strong> Vegetarian______________ # <strong>of</strong> Gluten-Free_______________ # <strong>of</strong> Vegan ________________
<strong>Class</strong> <strong>Registration</strong>Please refer to the enclosed information for the various fee options and what is included in each option. Prices are per person.Adults: *Early Bird Fee (by 5/10) or Regular Fee (after 5/10)Full weekend (Thursday–Sunday) # ________ @ $280.00 @ $315.00 = $ __________________Partial weekend (Friday–Sunday) # ________ @ $260.00 @ $290.00 = $ __________________Mini weekend (Saturday–Sunday) # ________ @ $200.00 @ $225.00 = $ __________________Saturday Only # ________ @ $170.00 @ $185.00 = $ __________________Children:Infant (
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