Registration Form A discounted $60 registration package (if made by Sept. 7, $75 after) includes all events on campus. Children under 5 years of age are free. The additional cost for the Athletic Hall of Fame Banquet is $39/person. TWIST XX is $80/person, $25/Tech students 24 or younger.
How to register: Please fill out this form and send it to the Institutional Advancement Office.
send by mail: Indiana Tech Alumni Office 1600 E. Washington Blvd. Fort Wayne, IN 46803 send by fax: 260.422.1578
register by phone: 800.937.2448 ext.2219 register online: www.IndianaTech.edu/homecoming e-mail your registration: REReplogle@IndianaTech.edu
Participant Information First____________________________________ Middle_ _______________________ Last Name_________________________________________________ Maiden Name_ _________________________________________________________ Spouse/Guest Name_________________________________________ Street Address_ __________________________________________________________________________________________________________________ City_ _________________________________________________________________ State________________________________ Zip Code_ _____________ E-mail_ _________________________________________________________________________________________________________________________ Home Phone________________________________ Cell Phone________________________________ Work Phone _________________________________ Graduation Year__________________________ Degree__________________________________________________________________________________
# of packages Event Registration □ Homecoming Package—all events ($60/person).................. _____ ($75 after Sept. 7) Includes all events except the Athletic Hall of Fame Banquet and TWIST Golf Outing.
Please put a check by each event you plan on attending, whether purchasing the homecoming package or not. Please fill in the total number of attendees, including yourself, in the column on the right. # of attendees Friday, September 18 □ Registration/Meet & Greet......................................................................................... _____ □ 50-Year Reunion Luncheon ($7.95/person without package)................................ _____ □ Bard Life Sciences Laboratory Dedication................................................................ _____ □ TECHnology 101........................................................................................................... _____ □ Guided Campus Tours................................................................................................ _____ □ Frank & Anne Oropeza Hall Dedication.................................................................... _____ □ Wine Reception — Hosted by the Alumni Board.................................................... _____ □ Tech Women’s Reserve Soccer Team vs. Women’s Alumni Soccer Team.............. _____ □ Alumni Banquet ($35/person without package).................................................... _____ □ Tech Men’s Reserve Soccer Team vs. Men’s Alumni Soccer Team.......................... _____ □ Women’s Alumni Basketball Game.......................................................................... _____
Saturday, September 19
# of attendees
□ Prayer Service............................................................................................................. _____ □ Breakfast with the President ($10/person without package). . ............................ _____ □ Alumni Association Annual Meeting........................................................................ _____ □ Women’s Alumni Softball Game.............................................................................. _____ □ Lunch — Free for registered alums........................................................................... _____ □ Men’s Alumni Baseball Game................................................................................... _____ □ Open Bowl.................................................................................................................. _____ □ Road Warrior Cruise-in.............................................................................................. _____ □ Warrior Tennis Orange and Black Challenge............................................................ _____ □ Downtown Trolley Tour.............................................................................................. _____ □ Fraternity Open Houses............................................................................................. _____ □ Women’s Lacrosse team Black and Orange Intersquad Game.............................. _____ □ Alumni Reception ($15/person without package).................................................. _____ □ Athletic Hall of Fame Banquet.................................................................................. _____ Price is $39 per person for full evening; $10 per person for casino only. Event is free for 2009 inductees and Warrior Club members.
Sunday, September 20
# of attendees
□ TWIST XX Golf Outing................................................................................................. _____ Entry fee is $80 per person, $25 for Tech students 24 or younger, or $320/group of four.
Payment Please total your registration fee(s) and/or fees for additional activities you are participating in and fill that information in below.
□ Check payable to Indiana Tech Credit Card: □ MasterCard
□ Visa □ Discover □ American Express
Card Number:_____________________________________________ Card Validation Number:____________________________________ (The card validation code is a three digit number found in the signature area on the back of your credit card, after your credit card number. On American Express cards, the four digit CVC appears on the front of the card under the card number.) Expiration Date:___________________________________________ Name on Credit Card:______________________________________ Credit Card Authorization: I hereby certify that I am the above credit card owner and authorize Indiana Tech to debit my credit card in the amount of $_________________________________________ Signature:________________________________________________
Thanks so much for participating in Homecoming 2009—Warrior Weekend! Our alumni and friends are at the heart of Indiana Tech. This institution couldn’t be the success it is today without your support. See you in September!
Cut along dotted line or photocopy and return this form to the Alumni office. You can also fax, call, or e-mail us with your registration information.