New York Medical College

Alumni & Development

Reunion Registration

Alumni Reunion Banquet Registration • Class of 1965

Sunday, May 17, 2015 • Sheraton Times Square Hotel


Please complete by May 1, 2015.      * Required Field


  Please complete your name as it should appear on your badge:

 Guest Information

Name(s) of spouse/guests who will be attending:

Names of people with whom you wish to be seated:


Number of spouse/guests that will be

Fees for spouse/guests that will be attending
($325 each): $

I would like to make a class gift: $

          TOTAL PAYMENT DUE: $


You may also print this form and mail it with a check payable to New York Medical College to:

New York Medical College
40 Sunshine Cottage Road
, NY 10595

For more information, contact Annette Schwab in the Office of Alumni Relations at 914-594-4556 (phone), 914-594-4682 (fax), or