Rollins College Reunion 2010

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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

1945

1950

1955

1960

1965

1970

1975

1980

1985

1990

1995

2000

2005

AFFINITY REUNIONS Basketball • Cheerleading

My Reunion. My Rollins. 33512 Rollins 3panel.indd 1

1/12/10 3:22 PM


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