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Your Information
Salutation
Mr.
Mr. & Mrs.
Mrs.
Miss
Ms.
Dr.
Rev.
*
First Name
*
Last Name
Suffix
Jr.
Sr.
III.
IV.
MD.
PhD.
Other
Other (specify)
Telephone
(xxx-xxx-xxxx)
*
E-mail
I would like to receive additional information via e-mail
Yes
No
Graduating Class
(for alumni)
Relationship to Wittenberg
Parent
Parent of Alumni
Grandparent
Friend
Alumni
Other
None
Faculty/Staff
Trustee
Foundation
Corporation/Organization
Spouse/Guest Information
Guest 1 Name
Guest 1 Graduating Class (for alumni)
(i.e. 1982)
Guest 2 Name
Guest 2 Graduating Class (for alumni)
Guest 3 Name
Guest 3 Graduating Class (for alumni)
Guest 4 Name
Guest 4 Graduating Class (for alumni)
Guest 5 Name
Guest 5 Graduating Class (for alumni)
Please indicate which events you and your guests will be attending and the total number of tickets you'd like for each event.
Friday
I / We Plan to Attend:
A Classroom Experience
0
1
2
3
4
5
6
Total # attending
The Athletics Hall of Honor Dinner ($30 per person)
0
1
2
3
4
5
6
Total # attending
All-Campus Welcome
0
1
2
3
4
5
6
Total # attending
Class of 1956 Welcome Reception
0
1
2
3
4
5
6
Total # attending
Saturday
I / We Plan to Attend:
Alumni Awards Brunch ($15 per person)
0
1
2
3
4
5
6
Total # attending
Tiger Tailgate Picnic
(Items purchased individually at venue)
0
1
2
3
4
5
6
Total # attending
5th-Year Cluster Reunion (Classes of '01, '02, '03)
0
1
2
3
4
5
6
Total # attending
10th-Year Reunion (Class of '96)
0
1
2
3
4
5
6
Total # attending
20th-Year Cluster Reunion ('85, '86, '87)
0
1
2
3
4
5
6
Total # attending
25th-Year Reunion (Class of '81) ($25 per person)
0
1
2
3
4
5
6
Total # attending
50th-Year Reunion (Class of '56) ($75 per person for weekend package)
Includes Friday's Welcome Reception, Alumni Awards Brunch, football tickets, Saturday's dinner, class picture, and Sunday brunch)
0
1
2
3
4
5
6
Total # attending
50th-Year Reunion: Dinner Only ($35 per person)
0
1
2
3
4
5
6
Total # attending
Weaver Chapel 50th Celebration Brunch
0
1
2
3
4
5
6
Total # attending
The Farewell Brunch ($6.50 per person)
0
1
2
3
4
5
6
Total # attending
Billing Information
Option 1:
I would like to pay with cash or check at Wittenberg when I arrive
Option 2:
I would like to pay by phone with a credit card
If you would like to pay by phone please indicated the best time of day and phone number to reach you:
Time of Day:
Morning
Afternoon
Evening
Phone Number:
Once you submit this registration form the form will RESET and your information will be saved.
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