Registration Form

for the Class Reunion of 1983, 1988, 1993, 2003, and 2008

Name:

Class of:

Address:

City:

State:

Zipcode:

Phone:

Fax:

Name of
Spouse or Guest:

No. of
Banquet Tickets:

@ $40.00 ea.

(Total)

(Make check payable to "The University of Tennessee")

Please indicate if you prefer a vegetarian meal or have other dietary needs:

Please return this form and your check by January 18, 2013 to:

Megan McMurray
UTCVM Alumni Relations
2407 River Drive, A301
Knoxville, TN 37996-4550