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Summer 2008 - ICO Worldwide - Illinois College of Optometry

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E Y E O N A L U M N I<br />

REGISTRATION FORM ALUMNI WEEKEND: SEPTEMBER 5 – 7, <strong>2008</strong><br />

Name ____________________________________________________<br />

Guest ____________________________________________________<br />

Address __________________________________________________<br />

(Circle one: home/work)<br />

City, State, Zip ____________________________________________<br />

Phone ___________________ Email __________________________<br />

(Circle one: home/work/cell)<br />

Class <strong>of</strong> _____________________<br />

REGISTRATION OPTIONS: For your convenience there are two<br />

options available to register for events. Select from the packages below<br />

(and be sure to choose from the options within each package)<br />

OR register á la carte. Please submit your registration form with<br />

payment by August 20th.<br />

Register by Mail: <strong>Illinois</strong> <strong>College</strong> <strong>of</strong> <strong>Optometry</strong><br />

Attn: Alumni Office<br />

3241 S. Michigan Avenue<br />

Chicago, IL 60616<br />

Register by Phone: 312-949-7080<br />

Register by Fax: 312-949-7683<br />

Register On-Line: www.ico.edu/alumni/alumniweekend<strong>2008</strong>.html<br />

PACKAGE #1:<br />

Weekend Event Package (all 3 days):<br />

OD: $155.00 Non-OD Guest: $125.00<br />

Yes, register me for this package:<br />

_______#ODs _______#Non-OD Guests<br />

Group Sightseeing Options: � Chicago Trolley Tour<br />

(choose one for each registrant) � Architectural Riverboat Tour<br />

� Chicago Art Institute<br />

Or � Smart Business Program<br />

PACKAGE #2 :<br />

Friday/Saturday Event Package:<br />

OD: $125.00 Non-OD Guest: $125.00<br />

Yes, register me for this package:<br />

_______#ODs ______#Non-OD Guests<br />

Group Sightseeing Options: � Chicago Trolley Tour<br />

(choose one for each registrant) � Architectural Riverboat Tour<br />

� Chicago Art Institute<br />

Or � Smart Business Program<br />

PACKAGE: #3<br />

Saturday/Sunday Event Package:<br />

OD: $90.00 Non-OD Guest: $60.00<br />

Yes, register me for this package:<br />

_______#ODs _______#Non-OD Guests<br />

Also available on-line at www.ico.edu/alumni/alumniweekend<strong>2008</strong>.html<br />

Group Sightseeing Options: � Chicago Trolley Tour<br />

(choose one for each registrant) � Architectural Riverboat Tour<br />

� Chicago Art Institute<br />

Or � Smart Business Program<br />

À LA CARTE REGISTRATION:<br />

Friday, September 5th<br />

_______ Class Reunion/Alumni Awards Reception, Banquet, and<br />

Alumni Hospitality Suite<br />

6:00 pm – 12:00 am, InterContinental Chicago,<br />

$75.00 per person<br />

Saturday, September 6th<br />

_______ Experience Chicago! Sightseeing Tours<br />

1:30 – 4:00 pm, Transportation Provided from <strong>ICO</strong>,<br />

$25.00 per person<br />

Options: � Chicago Trolley Tour � Architectural Riverboat Tour<br />

� Chicago Art Institute Or � Smart Business Program<br />

_______ Student/Alumni Reception with Exhibitors, Raffle Prizes,<br />

and Campus Tours<br />

4:00 – 6:00 pm, <strong>ICO</strong> Gymnasium, Complimentary/No Charge<br />

_______ Salsa Night! (Southwestern Buffet, Margarita Cantina,<br />

and Salsa Dancers)<br />

6:00 – 8:00 pm, <strong>ICO</strong> Courtyard, $50.00 per person<br />

Sunday, September 7th<br />

_______ Four Hours <strong>of</strong> Continuing Education (non-tested)<br />

8:00 - 11:40 am, <strong>ICO</strong> Lecture Center,<br />

$50.00 Alumni/$100.00 Non-Alumni<br />

PAYMENT OPTIONS:<br />

NEW OPPORTUNITY TO SPONSOR A STUDENT!<br />

_______ Yes, I would like to sponsor a student to attend Salsa Night!<br />

on campus on Saturday, September 6th, by adding $50.00 per sponsored<br />

student to my total payment.<br />

Total Amount Paid: _______________________________<br />

� Check Enclosed. Please make checks payable to <strong>Illinois</strong> <strong>College</strong> <strong>of</strong><br />

<strong>Optometry</strong>. By sending your check to us, you authorize the <strong>Illinois</strong> <strong>College</strong> <strong>of</strong> <strong>Optometry</strong><br />

to convert your check into electronic funds transfer. Please be aware that your bank account<br />

may be debited as soon as the same day we receive your payment.<br />

� Credit Card: Visa MasterCard Discover<br />

Card # ___________________________________________________<br />

Exp. Date _______________<br />

Signature ________________________________________________<br />

Date ___________________<br />

For additional information, contact Connie Scavuzzo, Director <strong>of</strong> Alumni<br />

Relations, at 312-949-7080 or alumni@ico.edu.<br />

<strong>ICO</strong> MATTERS SUMMER <strong>2008</strong> / 14

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