UNMC Alumni Gathering
Tuesday, May 13, 2008
Online Reservation

Please provide the following information: ( * indicates required information )
Personal Information
* First Name:
* Last Name:
Address:
City:
State:
Zip:
Phone:
* Email Address:
Select Your College:
Class Year:
2008 Blast at the Blatt

Indicate total number attending and guest's name(s)

Alumni Association Members/Guests: $25 per person

* If not a member and you would like to join, complete portion below

Alumni Association Non-members/Guests: $30 per person
UNMC Students/Guests: $20 per person
Guest Name(s):
Guest Name(s):
Guest Name(s):

Children 3-10 years(2 and under are free and will have to sit on adult's lap):

$10 per child
Guest Name(s):
Guest Name(s):
Guest Name(s):
* Alumni Annual Membership
Medicine Alumni Annual Member - $65  Nursing Alumni Annual Member - $40
Pharmacy Alumni Annual Member - $35  Physical Therapy Alumni Annual Member - $45
                                Physician Assistant Alumni Member - $50
Press submit to be directed to a secured payment site. Alumni Affairs will confirm your Blast at the Blatt reservations in a separate email. This will include further instructions about obtaining your game tickets and attending the picnic. Thank you!
 
 
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