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2003 Spring draft - uwpiaa

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R<br />

E<br />

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 _______________________________________________________

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