RESERVATIONS, ALUMNI DUES and
ALUMNI ASSOCIATION SCHOLARSHIP FUND
Please make your check payable
to: Camden Alumni Association
Mail your check with this form to:
Camden Alumni Association
35 Fourth Street
Camden NY 13316
Please
write year of graduation on your checks.
Banquet Tickets: _______ @ $18.00 per person = $ ______________
(No Refunds Given After June 12, 2010)
Alumni Association
Dues: _______ @ $ 5.00 per Alumni = $ ______________
(For the 2010-2011 year)
Camden Alumni Association
Scholarship Fund Donation: $ ______________
Grand Total: $ ______________
Name: _________________________________________
Class of: _________
Address: _________________________________________________________
Please
check one of the following:
___ I prefer to sit with my graduating class, or with those near my graduating year.
___
I prefer not to sit with my graduating class, but would rather sit with (indicate the persons):
____________________________________________________________
If
you are making a banquet reservation or paying dues for anyone other than the person named on the reverse side of this form, please
indicate the name of each additional person, and their graduating class, if a Camden graduate, in the space below.
Name: _______________________________________ CCS
Class of _________
Name: _______________________________________ CCS Class of _________