2017 hrcr annual mtg return form final1 .pdf
Original filename: 2017-hrcr-annual-mtg-return-form-final1.pdf
Title: Dual Response Form â€“ Can be used for both/either:
Author: Faith Adams
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Dual Response Form:
-- RSVP for 2017 Annual Meeting & Dinner May 17, 2017 --- 2017-2018 Membership Dues & Contributions - Confirm to HRCR (firstname.lastname@example.org)
Please return this response form and check (address below)
Name ___________________________________________________________________ Degree / Class ______________________
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.
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