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Eastern New Mexico University

Alumni Band Registration Form

Personal Information
Name:
Street Address:
City:
State:
Zip:
E-mail:
   
Performance Information
  I will perform with the Alumni Band.
   
Primary Instrument:
Secondary Instrument:
   
Attendance Information
Number of people performing:

($75 first player, $60 second player - includes banquet ticket, t-shirt and CD)

   
Number of people attending banquet:

($15 for extra family member ticket, $25 for non-performing attendee banquet ticket)

Note extra CD's and T-shirts are $15 each.  Please include T-shirt sizes below.  Seperate by commas. Enter number of extra CD in field below.
   
T-shirt size:
   
Extra CD's
   
Total remitted:
   
Registration deadline: June 1, 2009
   
Please make checks payable to: ENMU Alumni Band
   
Mailing address: ENMU Alumni Band
ENMU Station 16
1500 S Ave K
Portales, NM 88130