2017 hrcr annual mtg return form final1 (PDF)

RSVP by
Friday,
May 12th

Dual Response Form:

-- RSVP for 2017 Annual Meeting & Dinner May 17, 2017 --- 2017-2018 Membership Dues & Contributions - Confirm to HRCR (harvard.club.rochester@gmail.com)
 Please return this response form and check (address below)

Name ___________________________________________________________________ Degree / Class ______________________
Address ________________________________________________________________________________________________________
City

State

e-mail _________________________________________________________________________

Zip

Preferred Phone _____________________________________ ( home ___ work ___ mobile ___ )

Annual Dinner RSVP
Menu Selections: Chicken Fennel ____ ;

Vegetable Risotto ____.

Incoming Freshmen & Essay Contest Winners: Free
Current Harvard Students: $20 per person
Alumni, Guests, Parents: $45 per person

__________ @ Free +
__________ @ $20 +
__________ @ $45
$______

2017 - 2018 Club Membership & Contribution
A. Membership Dues – to support our service to this community and to Harvard University.
Alumni (class of ’11 & prior)/Parent: $45; Classes of ‘12-’16: $20; Class of ’17: Free
B. Additional contribution opportunities
 HRCR general contribution (for activities & internships - $20 or more recommended)
 H-R Club Endowment (HRCR direct contribution to Harvard College Fund)
 Russ Sibley Endowment (Harvard College fund earmarked for Student Athletes)
 Patron for the 2017 Harvard-Yale-Princeton Ball ($100 minimum)
How would you like your name(s) listed as patron?

$________
$________
$________
$________
$________

_______________________________________________________________________________________________

Total Payment Enclosed
Please make your check payable to “Harvard-Radcliffe Club of Rochester”
and mail to HRCR, P.O. Box 92441, Rochester NY 14692

***
Other Participation Options (please check if interested)
I am interested in serving on a club committee or as a Board Member.

______

I am interested in interviewing student applicants to the College.

______

$________