PLEASE FILL OUT AND PRINT THE FORM BELOW
REGISTRATION : Three ways to register for events: Make check or money orders payable to Howard University.
  1. Fax your registration and credit card information to 202/667-0839.
  2. Call the Department of Alumni Relations at 202/806-5857 and use your credit card.
  3. Mail your registration with check, money order or credit card information to: The Department of Alumni Relations, Howard University, 607 Howard Place, NW, Washington, DC 20059.
REGISTRATION:
General Registration(non refundable) $ 10 x ______________ = _____________
Campus Tour, Thursday $ 15 x ______________ = ______________
Reception and Luncheon, Friday $ 70 x ______________ = ______________
Welcome Reception,Friday $   0 x ______________ = ______________ = Complimentary
Farewell Breakfast, Sunday $ 25 x ______________ = ______________
Enclosed is my Class Reunion Gift $__________________________________
   
Total Registration: Number of Attendees_________  Total Enclosed: $ ____________________
 
Name:  
Class Year:  
Address:  
City:  
State:  
Zip:  
Daytime Phone:  
Evening Phone:  
Email Address:  
My check/money order is enclosed.  
Credit Card payment:  
  VISA    
  American Express    
  MasterCard    
Credit card number:  
Expiration Date:  
Cardholder Names :  
Signature:

Please print and return your completed registration form to the Department of Alumni Relations no later than April 30, 2007.