New York Medical College

Alumni & Development

Reunion Registration

Alumni Reunion 2014 - Registration for Graduates of All Class Years Ending With "4" or "9"

Sunday, May 18 • Annual Alumni Banquet • Sheraton Times Square Hotel

 

Please complete by May 1, 2014.      * Required Field

 

  Please print 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 5-Year Class celebrant(s) and spouse/guests that
will be attending ($325 each): $

I would like to make a donation: $

          TOTAL PAYMENT DUE: $

If paying by credit card, please call Alumni Relations at 914-594-4556 to provide card information.

 

If you prefer, you may 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 (email).