| Include check PAYMENT (DO NOT SEND CASH) made out to: Ilion - Alumni All Class Reunion and mail completed Registration Form with check to:
Ilion - Alumni All Class Reunion |
| Official Registration - Print this form from your browser and then please PRINT your entries on the form. Please print and COMPLETE a SEPARATE FORM for each member of your household who will be attending AND who is an ALUMNUS and/or Faculty Member. Cost of ticket covers admission to Friday night Alumni Band Jamfest AND Saturday Evening Parties. We will send you confirmation of your registration. |
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ONLY COMPLETE THIS FORM IF YOU PLAN ON ATTENDING The Reunion JamFest and/or Saturday Evening Dances AND ONLY IF YOU WILL BE 21 YEARS OR OLDER ON OCTOBER 11, 2002 |
| Graduating Class of which you were a member at IHS ___________ |
Number of Non-Ilion Alumni guests that you will be bringing to reunion. ___________ |
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NON-REFUNDABLE admission price - $35 per person if payment received by June 15 - $40 per person if received after June 15 and before August 1 - $50 per person if received after August 1 |
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| Total Number of Tickets Needed ___________ | Total Ticket Cost $ Amount enclosed ___________ |
| Are you a current or former member of the IHS Administration/Faculty Staff? Yes No | |
| Form of address |
Circle One Mr. Mrs. Ms. Rev. Dr. |
| Graduation Last Name | _______________________________________________ |
| Current Last Name | _______________________________________________ |
| First Name | _______________________________________________ |
| Apt./Street | _______________________________________________ |
| City and State | _________________________________ ___________ |
| Zip Code | _____________ Country ________________________ |
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Phone Number (with area code)
(optional) |
______ - _______- ___________ |
| Email Address (optional) | _______________________________________________ |
| Circle one of these choices below: | |
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Have you ever been a student at Herkimer County Community College?
If you live in the Mohawk Valley, would you be willing to house/host |
Yes No
Yes No Yes - Classmate only |
| Will you need hotel/motel/inn accommodations? | Yes No |
| May we publish the information you provided here on the alumni web site directory? | Yes No Yes and my info is already published correctly |
| May we list, by class year, that you are attending the reunion? | Yes No |
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Would you be interested in purchasing an Official Village Sesquicentennial brochure at $5 per copy?
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Yes No |