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2nd Annual Jr. College May Day Reunion Registration Form

2nd Annual Jr. College
May Day Reunion
April 30-May 1

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Contact Information

First Name: *

Middle/Maiden Name: *

Last Name: *

Class Year: *

Home Phone:

Work Phone:

Cell Phone:

E-mail Address:

Event Information

Name of Guest: *

Please name your guest and identify their Gardner-Webb graduation year if applicable.

Have you been inducted into the Half-Century Club?: *

Yes

Not Sure

If your guest is a GW alumnus, has he/she been inducted into the Half-Century Club?:

Yes

Not Sure

Events

Golf Outing at Riverbend/YMCA Golf Course:

Please indicate the number of people at $27 per person.

Social/Dinner/Dance at the Cleveland Country Club:

Please indicate the number of people at $25 per person.

Jr. College Reunion/Half-Century Club Luncheon:

Please indicate the number of people at $15 per person.

If you would like a group photo, please indicate your size preference:

8x10 group photo at $8 per print(includes photo holder and postage)

4x6 group photo at $4 per print (includes photo holder and postage)

Payment Information

Name on Card: *

Credit Card Number: *

Card Types: *

Visa

Mastercard

Discover

Please select the type of card you will be using.

3-Digit Security Code: *

Expiration Date: *

User login

Username: *

Password: *

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2nd Annual Jr. College May Day Reunion Registration Form

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