Alumni Weekend 2005 Weekend Reservation

Activation Number: __________    Class Year: _________

Name: _____________________________________________

E-Mail: _____________________________________________

My check is for (check all that apply): 

 ___ A bed for Alumni Weekend 2005 ($200, does not include golf) 

 ___ A donation for ____________________________________

 

Psi Chapter House Corporation
Mark A. Bado, Treasurer

1325 W Wexford Place
Peoria, IL 61615