Homecoming Registration and Ticket Order Form

Items marked with an * are required.

First Name: *
Last Name: *
Maiden Name:
Class Year:
   
Address 1: *
Address 2:
City: *
State: *
Zip Code: *
   
Phone: *
E-Mail: *
Number of Additional Guests:
Guest First Name(s):
   
I would like to purchase the following tickets:
 
 

Alumni Awards Brunch - $12/person
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
 

2005 Class Reunion - $12/person
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
(kids eat free)

1974-1977 Class Reunion - $12/person
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
 

Total for Tickets
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Total
Homecoming Events I plan to attend: (check all that apply)
50 Year Reunion Reception
The World’s Largest Man Reading
Math and Science Alumni Reunion Reception
50-Year Club Meeting (Alumni)
Alumni Awards Brunch (Alumni)
Other Event / Name of Other Event:
   
Additional comments: 
   
Method of payment: Check
  Credit Card (Credit card payment can be made through a
      secure server once this form has been submitted.)

Please note . . .

  • Hotel Rooms Available at the Cabot Lodge, 1-800-874-4737. * Ask for Belhaven rate ($89/per night).
  • Print this page before hitting "submit" as a copy for your records.