Princeton Class of 1969

Springfield Mini-Reunion Registration Form

October 14-16, 2011

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Registration and deposit

We may use deposit money for certain expenses necessary to cement the details of the trip. At this point no non-refundable expenses are anticipated and we have a high level of confidence in the plans. If for any reason it becomes necessary to cancel the trip, unexpended deposits will be returned prorata. Sign-ups will be accepted in the order received as per the registration memo, and thereafter we will build a waiting list. If you are placed on the waiting list you will be notified if a spot becomes available. You may withdraw from the waiting list (and receive a full deposit refund if you have made one) at any time. The balance of the registration fee will be called for mid-to-late summer. The total shared cost of the trip excluding air fares and incidentals will be approximately $525 per person.

Classmate name:          __________________________________

Phone (home and cell):  __________________________________

E-mail:                         __________________________________

Spouse/partner name:    __________________________________

Other guests:                __________________________________

Deposit ($100 per person) Number: _____ x $100 _____

Please check the following if applicable:

I will attend alone and prefer a single room ($101 additional)         _____

I will attend alone and would like to share a room with a classmate _____

Please extend my hotel reservation through Sunday night               _____

($101 additional, single or double)

Choose one of three easy ways to register and pay:

1. Save the envelope and stamp – go to our Class website (princeton1969.org) and register on line. Just click on the Springfield mini-reunion link or the Upcoming Events link near the top of the home page. If you have not already done so, you will need to establish a login user name and password.

2. Mail this form with a check payable to Princeton Class of 1969 by June 15 to:

3. Mail this form to David by June 15 at the address above and pay by credit card – fill in the information below and sign.

Type of card (circle one):     Mastercard         Visa

Name as it appears on the card: __________________________________

Card billing address:                  __________________________________

                                              __________________________________

Card number:                            __________________________________

Expiration date:                        __________________________________

Signature:                                __________________________________