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Class of 1963 Reunion Weekend 

May 18-19, 2013
Please respond by April 22, 2013.

Note: Submitting this form does not make your hotel reservations.

We have a block reserved for the Class of 1963 for Friday night May, 18 and Saturday night, May 19.  

You must contact the Marriott directly (800-327-6465) to make your reservations. Ask for the special 1963 Reunion Block rate. The room cost is $149 a night (includes breakfast for two for two days).

Reservations must be made by April 22 to guarantee the special rate and space.

REGISTRATION FORM: 

Name (for nametag):  
Spouse / guest's name (for nametag):  
Street Address Line 1:  
Street Address Line 2:  
Street Address Line 3:  
City:  
State:  
Zip:  
Day Phone:  
Cell Phone:  
E-Mail Address:  
   
Number Planning to Attend Saturday Night
Class Reunion:		  
Number Planning to Attend Commencement
Activities:		  
   
For cap and gown fitting:  
Coat size:  
Height:  
   
Special needs (such as mobility challenges,
food allergies, etc.)		  


Don't forget to submit the Biographical Information Form!