Alumnae Weekend Registration FormMarch 18, 2013 2022 Alumnae Weekend Registration and Payment Form Please complete the form below to register for the Mount Saint Joseph Alumnae Weekend, Aug. 27-28, 2022. 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!) No refunds can be made for cancellations after Aug. 1, 2022. Payment Method* Pay by Credit card - Transaction Fee Total Due: $0.00 Above are the the total charges (meals and dues) for the 2022 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 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name CAPTCHANameThis field is for validation purposes and should be left unchanged. Comments Angela M Horn-Rice March 25, 2013 at 1:29 pm Looking forward to seeing everyone! Comments are closed
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Looking forward to seeing everyone!