Registration Form
Registrants may also complete both sides of the registration form and return to:
REUNION 2010
NON-PROFIT ORGANIZATION U.S. POSTAGE PAID ROLLINS COLLEGE
The Alumni Office is pleased to offer online payment for Reunion. Register online at rollins.edu/alumni/reunion by Monday, March 15 and receive a free Reunion t-shirt!
MARCH 26 – 28
Rollins College Office of Alumni Relations 1000 Holt Avenue – 2736 Winter Park, FL 32789 Alumnus Name: ____________________________
Class Year(s): __________
Mailing Address: ____________________________ City: _____________________________State: ____ Home Phone: _____________________
Zip: _______
Cell Phone: _____________________
Email:____________________________ R-Number (located on address label): ______________ Please print names as you wish them to appear on name tags. Alumnus Name: ____________________________
Class Year(s): __________
Guest/Spouse Name: ________________________
Class Year(s): __________
Guest Name: _______________________________
Class Year(s): __________
Guest Name: _______________________________
Class Year(s): __________
If you and/or your guest(s) require special accommodations, please provide the
Method of Payment (please check one): Check Visa MasterCard Discover AMEX (only accepted online) Please make checks payable to Rollins College. Credit Card #: _____________________ Expiration Date: _________ V-Code (last three digits of the number located on the back of your Visa/MasterCard):_________ Signature (required for processing): _____________________________________ Total Payment: ___________ Please refer to reverse for Reunion events and costs.
ADDRESS SERVICE REQUESTED
__________________________________________________________________
Rollins College Alumni Association Rollins Reunion 2010 1000 Holt Avenue - 2736 Winter Park, Florida 32789-4499
appropriate information: _____________________________________________
CLASS REUNIONS 1940
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1945
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1950
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1955
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1960
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1965
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1970
1975
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1980
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1985
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1990
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1995
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2000
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2005
AFFINITY REUNIONS Basketball • Cheerleading
My Reunion. My Rollins. 33512 Rollins 3panel.indd 1
1/12/10 3:22 PM