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CSDB Registration Form

The document is a registration form for CSDB's 135th anniversary reunion combo from June 26-27, 2009. It provides information on registration prices for alumni members and non-members, which decrease if registered early. Attendees can choose chicken, beef, or vegetarian for the reunion dinner at the Flying W Ranch. The form also provides information on pricing for a family picnic on campus on June 27th and includes spaces for attendees to provide their contact information and year of graduation or departure from CSDB. Payment can be made via personal check or money order by mailing the completed form and payment to the CSDBAA Treasurer.

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0% found this document useful (0 votes)
152 views

CSDB Registration Form

The document is a registration form for CSDB's 135th anniversary reunion combo from June 26-27, 2009. It provides information on registration prices for alumni members and non-members, which decrease if registered early. Attendees can choose chicken, beef, or vegetarian for the reunion dinner at the Flying W Ranch. The form also provides information on pricing for a family picnic on campus on June 27th and includes spaces for attendees to provide their contact information and year of graduation or departure from CSDB. Payment can be made via personal check or money order by mailing the completed form and payment to the CSDBAA Treasurer.

Uploaded by

anon-675234
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
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CSDB'S 135TH ANNIVERSARY

Reunion Combo Registration Form - June 26-27, 2009 -


One Form per person - Please Type or Print -
Please return this form after filing all information needed to complete your record. Thank you for your time and attention in responding to this form.

Name: _
Badge Information First ( print your name above as you wish shown on badge) First, Initial, Last Name

Maiden Name, If married: _

Mailing Address: _

City/State/Zip: _

Daytime Phone: ( ) _ Evening Phone: ( ) _


Videophone TTY Both _ Videopbone TTY Both _

Email Address: _

Year of Graduation: _ Year Left CSDB _

~ Circle the Price for YOU!- Register Early and Save! -


Combo Registration Includes: Basic Registration Fee * Social with Buffet * CSDB Campus Picnic * Dinner at Flying W Ranch.
- No Children will not be allow on Friday Night and Saturday Night-

Early Bird Combo Special Combo Late Special Combo


Ticket Deadline Ticket Deadline Ticket Deadline
March 1,2009 April 1,2009 June 1,2009
"'(per Person)"
CSDBAA Member, Regular $40.00 $45.00 $55.00
CSDBAA Member, Senior (55+) $35.00 $40.00 $50.00

Non-Member, Regular $55.00 $65.00 $75.00


Non-Member, Senior (55+) $50.00 $55.00 $85.00

For Reunion Dinner, Please circle what you would like to have: Chicken Beef Vegetarian
- Flying W Ranch Chuckwagon Suppers-

- CSDB Campus Picnic - Family Picnic All Day - June 27, 2009-
- Saturday only -11:00 a.m. - 2:00 p.m. -
CSDBAA Member $10.00 Non-Member $12.00 SENIOR CITIZEN (55+) $5.00
ClllLDREN/STUDENT (7+) $10.00 ClllLDREN UNDER 6 FREE

Payment Method
Total Payment: $ _
__ Personal Check (payable to CSDB Alumni Association) __ . Cashier's Check or Money Order Acceptable
Note: No Personal checks wiu be accepted after June 1, 2009

Mail this entire form with your check or money order to:
CAROLYN (LYNN) WILKINSON, CSDBAA Treasurer,
3445 BUNTERWOOD DRIVE, COLORADO SPRINGS, COLORADO 8091'

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