Fort Hays State University

STUDENTS:

Alumni Event Registration Form

Name

For which event are you registering?

Grad Year(s)

Spouse/Guest(s)

Grad Year(s)

Home Address

City, State, Zip

Home Phone

Daytime Phone

E-Mail

Name (as it appears on credit card)

VISA MasterCard Discover

Credit Card Number

- - -

Expiration Date

Security Code

(3-digit number on back of card)

Select Alumni Event:

# Attending

Cost

Total
Cost

Central Kansas Tiger Gathering - Great Bend
Saturday, August 9, 6:30 p.m.
Alumni Association Member

$12

Non-Member

$13.50

Head to the Mines - Golden, Colo.
Saturday, September 6, 9:30 a.m. (MST)

Alumni Association Member

N/C

Non-member

N/C

Total Payment $

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