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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 (239)262-6354
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 34105-2528
HELP
US HELP PURDUE BY BEING A DUES PAYING MEMBER
& PARTICIPATING IN OUR ACTIVITIES
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