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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
Clip
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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
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