2019 Alumnae Weekend Registration and Payment Form 2021 Alumnae Weekend Registration and Payment Form Please complete the form below to register for the Mount Saint Joseph Alumnae Weekend, Aug. 28-29, 2021. Name* First Last Maiden Name* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneEmail Enter Email Confirm Email Class Year* School* Academy College Dues:*Annual MembershipLifetime MembershipAlready a Lifetime MemberSelect your dues option: Annual is $25.00 and Lifetime is $200.00. If you are 'Already a Lifetime Member', please select that option and there is no added cost.Saturday Welcome Back Supper*AttendingNot attendingAttending with guestThe cost of the Saturday Welcome Back Supper is $15 per person. Please select "attending," "not attending" or "attending with guest."Sunday Banquet*AttendingNot attendingAttending with guestThe cost of the Sunday Banquet is $25 per person. Please select "attending," "not attending," or "attending with guest."Special Needs:Please list if you have special needs (dietary, handicap accessibility, other). LATE ARRIVALS: If you are flying, please realize it is your responsibility to arrange for transportation to MSJ from the airport. (Keep your contact's telephone numbers handy in case of schedule delays!) Keep in mind that we do not have 24-hour staff or shuttle services available at the Center, so plan accordingly! No refunds can be made for cancellations after Aug. 2, 2021. Payment Method* Pay by Credit card - Transaction Fee Total Due: $0.00 Above are the the total charges (meals and dues) for the 2021 Alumnae Weekend. Fill out the information below to pay by credit card.Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.