Welcome,

Registration Form

Princeton Class of 1957 - 55th Reunion

May 31 - June 3, 2012

 

Please Print:

My Name:        ___________________________________________________                 Nickname:                            ________________________________

Address:            _____________________________________________________________________________________________

                            _____________________________________________________________________________________________

Home Phone:   ___________________________ Office Phone:   ________________________          Fax: ______________________

E-mail:   __________________________________________________________________________________________________

Other Reunion Attendees:

Wife/Friend:     ___________________________________________________                 Nickname:                            ________________________________

Offspring/Guests:  _____________________________  _____________________________  ____________________________

 

NEED GOLF CART/Other Assistance:    Yes ____   Contact Murray Peyton at mspeyton57@aol.com or 609-737-0390 for help

Other Requests:/Comments  ___________________________________________________________________________________

 

WANT CAMPUS/THEOLOGICAL SEMINARY HOUSING:           Circle Nights Needed         Campus       Seminary

Myself:  ______              Wife/Friend:   ______                                                T         F          S              ______          ______

Offspring - Name(s):   ____________________________                           T         F          S              ______          ______

                                        ____________________________                           T         F          S              ______          ______

                                        ____________________________                           T         F          S              ______          ______

For other housing options, see enclosed sheet and make your own reservations

 

                                                                                                                Please INDICATE NUMBER attending

MEALS:                                                                           Thu. D.     Fri. L.       Fri. D.       Sat. L.       Sat. D.       Sun. Br

Myself & Wife/Friend:                                                   ______      ______      ______      ______      ______        ______

Offspring:                                                                          ______      ______      ______      ______      ______        ______

 

Special Dietary Needs/Requests: ___________________________________________________________________

 

PAYMENT:

Registration Fee:

Class Member                          at           $400                                                      ______

Wife/Friend                               at             300                                                      ______

Offspring/Guests (each)         at                50                                                      ______

                                                Subtotal                                                                   ______

If requested above

Campus Housing at $110 per bed for whole weekend                                  ______

Theological Seminary Housing at $144 per bed for whole weekend          ______

 

I would like to make this additional gift to the Reunion                                ______

Total Payment                                                                                                     $______

 

Full refunds will be made upon request to those who make payment but subsequently cannot attend

 

METHOD OF PAYMENT:

Check:   __________         (Payable to Princeton Class of 1957)

Charge:  __________         MasterCard #   ________________________________ Expiration Date   ____________

                                                Visa #                 ________________________________ Expiration Date   ____________

 

Signature:              __________________________________________________________

 

Please mail this form in the enclosed envelope to:

Jackman S. Vodrey

P.O. Box 60

East Liverpool, OH  43920

E-mail:  jackman@vodrey.org

Office Phone:  330-385-3400

Home Phone:  330-385-1135