New York Medical College

Alumni & Development

Reunion Registration

Alumni Reunion Banquet Registration • Class of 1964

Sunday, May 18, 2014 • Sheraton Times Square Hotel

 

Please complete by May 1, 2014.      * 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
attending:    

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
Alumni
Center
40 Sunshine Cottage Road
Valhalla
, NY 10595

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