Reunion Weekend 2014 Registration

Please enter the information of the registrant below.

*Order Date: (MM/DD/YYYY)
*First Name: *Last Name:
MD Class Year:
Nametag:
*Home Street 1:
Home Street 2:
*City:
State:
Country: (if abroad)
Zip: -
Home Phone: ( ) -  ext
*Email:
Additional Guests
(for nametags):
 
 
 

SCHEDULE OF EVENTS please CLICK HERE.

REGISTRATION IS FREE THIS YEAR!
Please make a gift to the Brown Medical Annual Fund and support your class' fundraising effort.

Please enter the number of attendees per event.

Description Price # of attendees
Registration Fee Free
Opening Celebration $10.00
Campus Dance $25.00
Rothman Lecture Free
Medical School Tour Free
Sauber Lecture and Reception Free
Alumni Field Day and BBQ $20.00
Cooke Lecture Free
Reunion Class Dinner, Providence Biltmore (Chicken) $65.00
Reunion Class Dinner, Providence Biltmore (Sirloin) $65.00
Reunion Class Dinner, Providence Biltmore (Salmon) $65.00
Reunion Class Dinner, Providence Biltmore (Vegetarian) $65.00
Reunion Class Dinner, Providence Biltmore (Child Under 12) $15.00