Registration Form
Please download this registration form and mail the completed form with your check (made out to “PLNU-Math/Science Celebration”) or credit card information to the mailing address shown at the bottom of this page.
Official Registration Deadline is November 9, 2009 (after November 9, contact LeAnne Elizondo at 619 849 2205 or lelizond@pointloma.edu, regarding ticket availability). A registration becomes official once the fee has been received.
Number of tickets @ $50____: @ $25 (2005-2009 graduates) ____ [all ticket proceeds will be donated to the new Science Complex building fund, thanks to alumni donations underwriting this event: $50 ticket purchasers will receive a tax-deductible gift credit of $25 per ticket (the meal and printed materials are valued at $25)].
Here's an additional gift of $___ above the cost of my ticket(s) towards the new PLNU Science Complex.
I am unable to attend, but would like to give a gift of $___ in support of the new PLNU Science Complex.
Total amount enclosed $________. Choice of Dinner Entrée(s): Chicken _____, Vegetarian _____.
_____ Number in my party likely to attend Homecoming Chapel (to facilitate group seating).
Name(s)________________________________________________________________________
Work Phone (______)____________________ Home Phone (______)_______________________
Mailing Address _________________________________________________________________
_______________________________________________________________________________
Email address(es)________________________________________________________________
Nature of Association with PC/PLNU (i.e. Department / Graduation Year / Years you taught)
_______________________________________________________________________________
Current Activities _______________________________________________________________________________
Please mail this completed registration form with your check or credit card information to: Dr. Michael McConnell, Department of Biology, Point Loma Nazarene University, 3900 Lomaland Drive, San Diego, CA 92106. Further questions? Contact Michael McConnell either by email (or phone) at: mmcconne@pointloma.edu (619-849-2304). |