Greater University Chapter Ice Skating Party at Mark Freitas Ice Forum

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Please complete the following information. Required fields are marked with an asterisk (*). Greater University Chapter Ice Skating Party! Event date & time: ??January 12, 2013 5:15 PM Location: Mark Freitas Ice Forum 2111 Hillside Road, Unit 78 Storrs, CT| Directions Sharpen your skates and head out to UConn?s Mark Freitas Ice Forum with fellow alumni, friends and the Greater University Alumni Chapter. Enjoy a fun afternoon of skating, hot chocolate and cookies. Rental skates are available at $4 per pair, and skate sharpening is available at $5 per pair while you wait. We hope to see you there! Questions? Email Ashley Pedersen or contact the Alumni Association toll-free at (888) 822-5861. UConn?Alumni?Association?Members?&?Families For all dues paying members of the Alumni Association and their families. ?(No charge) UConn?Alumni?Association?Non-Members For individuals who are not dues paying members of the Alumni Association. ?@??$10.00 UConn?Alumni?Association?Non-Member?Families For families who do not have at least one dues-paying member of the Alumni Association (price includes children). ?@??$20.00 Total:$ View?Attendance?List Display my name in the attendance list for this event. Personal Information Title:?(Mr.,?Ms.,?etc.) First?Name:?* Middle?Name: Maiden?Name: Last?Name:?* Suffix:?(Jr.,?Sr.,?etc.) Email?Address?* Please enter your phone number in the following format: xxx-xxx-xxxx. Daytime?Phone?Number: Evening?Phone?Number: Billing Address Street?Address1:?* Street?Address2: Street?Address3: City:?* State:?* Postal?Code:?* Country: Home Address Check if home address is same as your billing. Street?Address1:?* Street?Address2: Street?Address3: City:?* State:?* Postal?Code:?* Country: Guests Add?another?guest Payment Information Choose a payment option: Credit Card You will have the opportunity to review your order before submitting it. Name?as?it?appears?on?credit?card: Credit Card Type: Credit?Card?Number: Expiration Month: Expiration Year: CVN?Number: ???

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