REGISTRATION FORM REUNION DATES: JULY , 2016

Transcription

1 A non-profit public benefit organization pursuant to IRS Code 501 (c) 93) with EIN REGISTRATION FORM REUNION DATES: JULY , 2016 REUNION VENUE Embassy Suites San Francisco Airport - South San Francisco 250 Gateway Blvd. South San Francisco CA 9400 USA TEL: FAX: Book your room reservation directly with Embassy Suites by June 24,2016 to avail yourself of the SPECIAL SMUNVA GROUP ROOM RATES Group Code: SMU US$195/NT plus taxes 2 ROOM SUITE-1 KING BED- NONSMOKING (rates applicable July 16-18, 2016 reservation) Visit: to book room reservation in site provided by Hotel REGISTRATION FEE US$175 PER ATTENDEE US$65 PER KID 5-12 YRS OLD NO KIDS BELOW 4 ALLOWED *Name of reunion attendees including yourself: use the back page if you need more space (If you prefer to register online, log on to: This form can be downloaded from the website as well should you need more copies) Section 1 - REGISTRANT/ADVERTISER/DONOR INFORMATION *This information is required to acknowledge receipt of your registration & payment. Section 2 - REGISTRATION ATTENDANCE AT ST. MARY S: Indicate the year you graduated or last attended in: SMES SMHS SMU NO. OF PARTIES ATTENDING (including yourself) Indicate Any food alergies T-shirt US$20ea. (see next page for Sizing Chart) Hat US$15 (one-size) SMUnuevavizcayaAlumni Membership Fee - US$10 Section 5 - PAYMENT: Make check or money order payable to: SMU Nueva Vizcaya Alumni Registration Fee ( Attendee/s x US$175) US$ Add: Kid 5-12 yrs. old Attendee/s x US$65 US$ T-Shirt Order (Qty. x US$20 each)uus $ Men Size: Med. Large XL Ladies Size: Med. Large XL 2XL Hat Order (Qty. x US$15 each) US$ SMUnvA Membership Fee ( x US$10) $ Advertisement Fee (see Section 3) US$ Donation Amt. (see Section 4)) US$ Total Due US$ Enclosed is check or money order for US$ (If you prefer to pay by credit card, register MAIL completed form and payment to: DATE FIRST NAME (PRINT) LAST NAME STREET ADDRESS CITY STATE/PROV COUNTRY ZIP/POSTAL CODE * ADDRESS *TEL. # SMUnuevavizcayaAlumni c/ovicky M. Briones, Treasurer SMU Nueva Vizcaya Alumni 9377 Bocina Lane, Apt. C Atascadero, CA Section 3 - SOUVENIR PROGRAM Pls. fill-up this section for your advertisement. YES, I would like to advertise in the Souvenir Program. Ads Pricing/size (see Guide on page 3) $100 (full-page) $50 (half-page) BW Portrait Format Landscape Format $300 (4th panel of outside front cover in color still available. 1st & 2nd panel taken.) $200 (each panel of inside front cover BW. 1st & 2nd panel taken. 2 panels ) Pls. provide the required graphics for your ad layout: Photo/s Bus. Logo Text Copy Layout Supplied (if any) Note: your graphics to: wilfredsr@fabroa.com or lee_tengco@yahoo.com May 16, Deadline for ad submission Ads Message: (use the back page if you need more space) Section 4 - DONATION Reunion Preparation Fund $ Scholarship Fund $ Website Upkeep $ Fill Donation Amt. in Section 5. A receipt will be issued for tax purposes. FOR TREASURER S USE ONLY Registration File No. No. of Attendee/s Registration Ads Donation T-Shirt Hat Check # Amt.$ Bank Payment Received Date Acknowledged via Letter Phone Signed: :V16

2 t-shirt and hat not exactly as shown T-shirt Sizing Chart

3 Souvenir Program Outside and Inside Cover Page ad Space Guide 1st panel inside cover page 8.5 x11 2nd panel inside cover page 8.5 x11 3rd panel inside cover page 8.5 x11 4th panel inside cover page 8.5 x11 Ad Space (8.5 x 11 - printing all black portrait format) For actual size of ad space see next page Ad Space (8.5 x 11 - printing all black) landscape format

4 Ad Space (8.5 x 11 - printing all black portrait format)

5 Ad Space (8.5 x 11 - printing all black) landscape format