RESERVATION FORM
Please Print and Mail

ANNUAL WINTER DINNER---PURDUE GLEE CLUB ENTERTAINMENT
DATE::  TUESDAY, MARCH 18, 2003---NAPLES BEACH HOTEL & GOLF CLUB
SOCIAL PERIOD 6:00PM---DINNER 6:45PM---COST $35---CASH BAR

 

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 Please make_____reservations for the Purdue Winter Dinner @ $35 per person

 Name(s)___________________________________________________________________________

 Address______________________________________________________Phone________________

Enclosed is check payable to Purdue Club Of Southwest Florida in amount of $______________
Mail to Purdue Club Of Southwest Florida---571 103rd Avenue North, Naples, FL  34108
For further information phone Event Coordinator Ed Elliott

WE ENCOURAGE ALL PURDUE ALUMNI AND FRIENDS OF PURDUE TO
JOIN THE PURDUE CLUB OF SOUTHWEST FLORIDA

For Dues through the 2003 Calendar Year – Dues $15 – One Individual dues also covers spouse 

Name (print)________________________________________________School & Class________

 Spouse_______________________________________________________________School & Class________

 Primary Address_______________________________________________________Phone________________

 Alternate Address______________________________________________________Phone________________

 Dates to use Alternate Address: From_________________________To______________________

 Business Address______________________________________________________Phone________________

 Preferred Name(s) for Name Badge_________________________________Spouse______________________

 Enclosed is check payable to Purdue Club Of Southwest Florida for 2003 Dues in amount of $____________

 I am including an additional amount ($10 or more) for the Scholarship Honors Program of $______________

 Mail check to Purdue Club of Southwest Florida at:  4411 Wilder Road, Naples, Florida 

 HELP US HELP PURDUE BY BEING A DUES PAYING MEMBER
 
& PARTICIPATING IN OUR ACTIVITIES

 

Purdue Club of Southwest Florida Collections

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