ePay Form: Alumni Affairs

Homecoming

October 23 - 26, 2014

 REGISTRATION PACKAGE
Full Registration
(Registration after September 1)
Quantity @ $295 TOTAL
Meeting Package 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 @ $70 TOTAL
FRI: Alumni Banquet / Sponsorship Table Quantity @ $1000 TOTAL
FRI: Annual Line Dance Social Quantity @ $15 TOTAL
SAT: Alumni Tailgate Party Quantity @ $30 TOTAL
SAT: Football Ticket(s) - Benedict vs Morehouse Quantity @ $25 TOTAL
SAT: Stadium Parking (Game: 10-25-2014) Quantity @ $10 TOTAL
SAT: Masquerade Party Quantity @ $60 TOTAL
SAT: Sponsorship Table: [VIP Table Sponsor/front row Seating] Quantity @ $1000 TOTAL
SAT: Sponsorship Table: [VIP Table Sponsor 2nd row seating] Quantity @ $750 TOTAL
       
 MEMBERSHIP
BCNAA Membership Annual Quantity @ $25 TOTAL
BCNAA Life Member-New Grad Quantity @ $350 TOTAL
BCNAA Life Member Quantity @ $500 TOTAL
       
 OTHER
Other Description: Amount
(Do NOT enter $; Dollar Amount Only)
TOTAL

Grand Total:
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Secure Payment Form

 
Summary:
Date: 05/25/15
Type of Payment:

Payment Amount (from above Grand Total): (No dollar sign) | Sorry no refunds
Credit Card Information:
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Name as on Card:
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Card Expiration Date: MMYY
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Mailing Information (Required ... please fill in):
Company Name:
First Name:
Last Name:
Address:
Address Line 2:
City:
State:
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Email Address: