Homecoming registration

Name: *

Include first, last and maiden name in brackets (if applicable).

Spouse/guest(s) names:

Separate names with commas, and include ages of children

Year of graduation: *

Address line 1: *

Address line 2:

City/town: *

Province/state: *

Postal/zip code: *

Country:

Telephone number: *

Please include country and area code (1.306.000.000)

Email address: *

Special nutritional needs:

(Vegetarian, allergies, etc)

May we list your attendance on the Luther College Homecoming website: *

Yes

Please check off the registration options you prefer and calculate your registration costs. Registration deadline: Friday 7 September 2012.

Registration package:

Black & Gold - includes registration to all events, copy of your class photo, and a Luther College Alumni zip-up, please specify your size in the field below ($150 per guest)

Gold - includes registration to all events and a copy of your class photo ($115 per guest)

Black - includes registration to all events ($100 per guest)

Size of zip-up (Black and Gold package only):

Individual event registration:

Friday reception at Crave - registration to the come and go reception hosted at Crave Kitchen and Wine Bar ($25 per guest)

Saturday chapel - registration to the chapel and barbeque held at Luther College high school ($15 per guest)

Saturday banquet - registration to the banquet held at the Regina ($55 per guest)

Class photo ($25)

Total registration costs: * $

Alumni and friends of Luther College are encouraged to bring their children to the Saturday morning chapel and barbeque. All other events are for adults only.

*Be sure to register before 3 August 2011 for your chance to win a Luther-themed prize!

Payment: *

I will contact Luther College with my Visa/Mastercard information to pay for my registration costs via telephone (306.757.7393)

I will mail a cheque to payable to Luther College High School to 1500 Royal Street, Regina, SK Canada S4T 5A5

I will pay for the cost of events in person 21-23 September 2012.

Faculty / Staff

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Alumni | Luther College

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