Directions: Mail this form with your check made out to University Foundation at Sacramento State and mailed to:
Gene Knepprath
2620 P Street
Sacramento, CA 95816
Register by Wednesday, April 27. If late, call Gene Knepprath at (916) 457-3793 to arrange to pay at the door.
RESERVATION FORM
Spring 2011 Champagne Brunch
Sunday, May 1, 2011 at the Alumni Center
• complimentary champagne, chamber music and art display at 11 A. M.
• brunch at noon
• brief announcements at 1:30 P. M.
Your Name
Your Address
Email (important)
Phone Number
Faculty
Staff
Which department?
Check one if you want the membership discount: I have paid 2011 dues
, I am a life member
or
I want to begin
renew
membership for 2011.
Please check your membership card. If it says "2011," you have already paid dues!
If applicable, check one of the dues options: Faculty $30
Faculty Life $300
Faculty out of area 75 mi.or more $10
Staff $20
Staff Life $150
Staff out of area 75 mi. or more $10
We will make name tags for you and your guests. Please list names in this box:
*$35 for 2011 member and $35 for 1 companion =
$45 each for non-members =
Your 2011 membership dues =
**Event Donation =
Total amount enclosed =
*If you pay dues for 2011, the cost for you & 1 companion is $35 each. Non-Members pay $45 each. Membership dues are tax deductible, less $10 for the reduction you receive in the cost of the brunch.
**Donations are fully tax deductible and go to deserving campus programs such as the library, music programs, art programs, faculty student scholarship fund, etc. We thank all those who donate regularly at our events.