2003 Spring draft - uwpiaa
2003 Spring draft - uwpiaa
2003 Spring draft - uwpiaa
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R<br />
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G<br />
I<br />
S<br />
T<br />
E<br />
R<br />
TODAY<br />
* Note: Fax, telephone and online<br />
registrations will not be taken after<br />
Tuesday July 15, at 12:00<br />
midnight Eastern Time.<br />
After that date, registrants must<br />
register on-site at Reunion, beginning<br />
Thursday, July 24, 12:00 noon at<br />
Late Registration prices. Any<br />
registrations sent by mail must be<br />
postmarked by July 10 to ensure the<br />
registration is processed in time for<br />
Reunion.<br />
8 spring ‘03<br />
Register by mail<br />
UWPIAA<br />
Attn: Reunion<br />
P.O. Box 987<br />
North Platte, Nebraska 69103-0987<br />
USA<br />
Register in any of the following ways!<br />
Register by fax<br />
610-825-0575<br />
Register by phone<br />
610-825-2244<br />
Whatever method you choose, register today!<br />
Register online<br />
www.<strong>uwpiaa</strong>.org<br />
(will link you to our secure website)<br />
*** Questions? Call or fax the numbers listed or email your query to registration@<strong>uwpiaa</strong>.org ***<br />
Please type or print<br />
UWPIAA<br />
_______________________________________________________________________________________________________<br />
First Name Last Name Cast/Year<br />
_______________________________________________________________________________________________________<br />
Address City<br />
_______________________________________________________________________________________________________<br />
State/Province Postal Code/Zip Code Country<br />
_______________________________________________________________________________________________________<br />
Home Phone (Include Area/Country Code) Work Phone (Include Area/Country Code) Fax (Include Area/Country Code)<br />
_______________________________________________________________________________________________________<br />
Email Address Name Tag Information (if different from above) Nickname and/or Country of Origin<br />
REGISTRATION PAYMENT – Registrations must be received online or postmarked by 12:00 midnight Eastern Time<br />
on May 3 and June 14 to receive discounted rates. *<br />
Early Registration (by May 3, <strong>2003</strong>) Advance Registration (May 4-June 14) Late Registration (June 15-July 26)<br />
# _____ Individual at $165 Total $ _____<br />
# _____ Couple/Family at $250 Total $ _____<br />
# _____ Additional Children at $25 Total $ _____ # _____ Additional Children at $30 Total $ _____ # _____ Additional Children at $40 Total $ _____<br />
# _____ Youth at $65 Total $ _____<br />
# _____ Youth at $70 Total $ _____ # _____ Youth at $75 Total $ _____<br />
GRAND TOTAL $ _____<br />
GRAND TOTAL $ ______<br />
Individual: One person, whether Alumnus, Alumna or Guest, over age 18<br />
Couple/Family: Alumnus, Alumna or Guest plus spouse/partner and up to two children aged three to 13 years<br />
GRAND TOTAL $ _____<br />
Additonal Children: For each child (aged three – 13) in addition to two included in the Family Package, or in conjunction with an Individual Registration. Children two and younger are free.<br />
Youth: Children aged 14 to 18<br />
NAME TAGS FOR FAMILY PACKAGES If you are not an UWP alum, please indicate your affiliation:<br />
Spouse/Partner _______________________________________________ ___ Host family ___ Family of Alumni ___ Sponsor<br />
Child ______________________________________ Age ___________ ___ Other (please specify) _____________________________<br />
Child ______________________________________ Age ___________ Special Needs must be submitted with registration.<br />
Additional Children and Ages ________________________________________ ___ Dietary needs: Vegetarian, Kosher, etc. ___________________<br />
_____________________________________________________ ___ If you have a disability, please check here and attach a statement regarding<br />
needed accommodations. Thank you!<br />
Band Members! Please indicate what band instrument you are bringing to Reunion:<br />
REGISTRATION CANCELLATION POLICY<br />
____________________ (does not include keyboards and drums)<br />
Cancellations and requests for refunds will be accepted only in<br />
writing.<br />
METHOD OF PAYMENT<br />
Written cancellations requests received:<br />
• on or before May 14 will receive a full refund,<br />
minus a $25 administrative fee per registration<br />
cancelled.<br />
• between May 15 and June 14 will receive a full refund,<br />
minus a $50 administrative fee per registration<br />
cancelled.<br />
• after June 14 are not eligible for a refund.<br />
UPB<br />
EAT<br />
# _____ Individual at $190 Total $ _____<br />
# _____ Couple/Family at $300 Total $ _____<br />
# _____ Individual at $225 Total $ _____<br />
# _____ Couple/Family at $350 Total $ _____<br />
Check enclosed for $ ________<br />
(payable to the Up With People International Alumni Association….UWPIAA)<br />
Donation to UWPIAA: $ ________ (Thank you!)<br />
I prefer to pay by credit card: Visa Master Card Discover<br />
Account number _________________________________ exp. Date ___________<br />
Printed name on credit card _____________________________________________<br />
Signature _______________________________________________________