EVENT REGISTRATION FORM Name Class Year Address: City
State
Zip
Spouse/Guest(s) Please check the events you plan to attend and number in your party. ACTIVITY QUANTITY Picnic $20.00 p/person* Alumni Banquet $25.00 p/person* NAA, Inc. Meeting Sunday breakfast $3.50 p/person *Activities are complimentary to 50th year class members only. YOU MAY CHARGE YOUR PURCHASES TO: Master Card Card Number
Visa
American Express Expiration Date:
Signature of Cardholder Billing Zip Code
MAIL THIS FORM W/CHECK OR CREDIT CARD PAYMENT TO: Saint Augustine’s University Office of Alumni Affairs 1315 Oakwood Avenue Raleigh, NC 27610 For more information call the Office of Alumni Affairs – 919-516-4343 or visit our website at www.st-aug.edu.