ePay Form: Alumni Affairs

Homecoming Registration Form

October 20 - 23, 2016

REGISTRATION & SPONSORSHIP PACKAGES (Registration Deadline: September 1, 2016)
Audacity to Dream Sponsorship Packet (VIP Seating at all Events, Signature Recognition in BCNAA Brochures) Quantity @ $1,000 TOTAL
Audacity to Dream Sponsorship Packet with Spouse Quantity @ $1,250 TOTAL
Full Registration (Early Bird) Packet:
includes (ALL event tickets; EXCEPT Tiger Jam, Football Game Tickets and Stadium Parking)
Quantity @ $250 TOTAL
Meeting Registration Only Quantity @ $50 TOTAL
       
 EVENT TICKETS
THURS: Athletic Hall of Fame Banquet Quantity @ $60 TOTAL
FRI: Alumni Awards Luncheon Quantity @ $50 TOTAL
FRI: Alumni Banquet Quantity @ $60 TOTAL
FRI: Alumni Social Quantity @ $25 TOTAL
SAT: Alumni Tailgate Party Quantity @ $30 TOTAL
SAT: Football Ticket(s) - Benedict vs Morehouse Quantity @ $25 TOTAL
SAT: Stadium Parking (Game: 10-22-2016) Quantity @ $15 TOTAL
SAT: Live Concert (TBA) Quantity @ $60 TOTAL
SAT: Tiger Jam Quantity @ $25 TOTAL
       
 MEMBERSHIP
BCNAA Membership Annual Quantity @ $25 TOTAL
BCNAA Life Member - New Grad within 5 Yrs (2012 thru 2016) Quantity @ $350 TOTAL
BCNAA Life Member Quantity @ $500 TOTAL
       
 OTHER
Other Description: Amount
(Do NOT enter $; Dollar Amount Only)
TOTAL

Grand Total:
(Enter below as Payment Amount)
 
(No dollar sign)
Secure Payment Form

 
Summary:
Date: 07/01/16
Type of Payment:

Payment Amount (from above Grand Total; Required): (No dollar sign) | Sorry no refunds
Credit Card Information:
Card Type:

Name as on Card (Required):
Card Billing Street Address:
Card Billing Zipcode:
Card Number:
Card Expiration Date: MMYY
Card ID (CVV2/CID) Number:
 
[What is the Card ID?]
   
Mailing Information (Required ... please fill in):
Company Name:
First Name:
Last Name:
Address:
Address Line 2:
City:
State:
Zip:
Country:
Phone Number:
Email Address: