School Alumni Chapters

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  • Registration Form

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    Friday, April 18, 2014

    Travis Taylor Fundraiser Golf Tournament - Deerfield Golf Course
    7:30 a.m. Breakfast with Sponsors
    8:30 a.m. Six Man Scramble Tournament
    12:30 p.m. Lunch and Awards
    My Handicap is

    Team member preference (six man teams):
    # attending tournament
    # of students attending tournament
    X ($75 per person/$50 per student) = (Fee includes breakfast, cart/green fees, range balls, and lunch)
    Dental Alumni and Friends Cocktail Reception/Dinner - Old Capitol Inn
    Honoring the Classes of 1979, 1984, 1989, 1994, 1999, 2004, 2009
    2014 Dental Alumnus of the Year Recognition
    6:30 p.m. Cocktail Reception
    7:15 p.m. Dinner Seating (3 course gourmet dinner)
    9:00 p.m. Honored Class Pictures
    # attending dinner X ($100 per person) =
    Total Amount Enclosed

    Credit Card Information

    Please use Visa or Mastercard only.
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    Located on the back of the card

    Please join in making a gift to the School of Dentistry
    In support of the Dean's Fund of Excellence

    The University of Mississippi School of Dentistry and Alumni Association are committed to excellence in dental education and strive to ensure the personal and professional success of our students, faculty, staff and alumni. Our fundraising emphasis this year during DAF is in support of the Dean’s Fund of Excellence to provide assistance to student programs and other areas of educational need within the School. With your assistance, we can continue to create a state-of-the-art learning environment for students at Mississippi’s only dental school. Your attendance at the Dental Alumni and Friends events and your financial support are key to the success of this endeavor and demonstrate our positive commitment to our goal. We hope you will join others in making a contribution and support the future of dentistry.

    Listed below are suggested giving levels:
    • $250
    • $500
    • $1000
    • $2000-$4999
    • $5000-$9999
    • $10,000 and above
    I would like to make a gift of $
    Amount will be added to credit card total above.
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