School Alumni Chapters


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  • Medical Reunion

    Please fill out the registration form below to join us for the 2014 Medical Class Reunion.

  • Registration Form

    Registration Deadline: August 15, 2014
    I plan to attend*:
    First Name*
    Last Name*
    Class Year*
    Spouse/Guest
    Street Address*
    City, State, Zip Code*
    Phone (Home)()-- ext.
    Phone (Business)()-- ext.
    Email
    Hotel/venue during reunion (if applicable)
    Fax #()-- ext.
    Dietary restrictions, if applicable

    Friday, August 22, 2014

    11:00 a.m. - Welcome Lunch and Tour
    Enjoy lunch with your classmates and the Dean of the School of Medicine followed by "Back to the Future in Medical Education" and tours of campus.
    Norman C. Nelson Student Union
    $25 per person # =
    1:30 p.m. - Tour
    UMMC Campus Tours including the Guyton Research Complex, Simulation Suite, and "Memory Lane". (2hr ride/walk tour)
    Individuals may request earlier return to their parking area if desired.

    Please note if you would like to add an optional area to the end of your tour:





    Other (please describe):
    6:00-9:00 p.m. - An Evening of Mississippi Traditions
    Enjoy Southern Cuisine and Mississippi History while visiting with your classmates and the Dean of the School of Medicine as we pay special tribute to our Golden Grads - Class of 1964 (An event for ALL classes)
    Old Capitol Museum
    # attending* X ($50 per person) =
     

    Saturday, August 23, 2014

    7:00 p.m. - Cocktail Reception/Class Dinners
    Country Club of Jackson
    Specify any special dietary needs:
    $100 per person # =
    7:30 p.m. - Class Photo $NC
    (Please be prompt so you will be included in your class photograph!)

    Medical Reunion Scholarship Fund

    Student scholarships are not possible without alumni support.
    We will announce each class gift at the reunion lunch so your participation is needed to make your class 100%!

    Medical Reunion Class Of:
    Scholarship Gift
    (See Booklet page 8)
    $
    Amount will be added to credit card total below.

    Pay online by Credit Card

    Total Amount Enclosed
    Credit Card Payment:
    Card Holder Name*
    Card Type*
    Credit Card Number*
    Credit Card Expiration Date*
    Credit Card CVV Number*
    Located on the back of the card
       CVV