Registration Form Burke High School 1963 Reunion

The hotel reservations are made separately from the Reunion Registration, but if you have not made reservations for the hotel and wish to go to the site. you may do so by clicking on the Harborside Hotel Logo below.

Make Your Hotel Reservations As Soon As Possible

Hotel Reservations Weblink

https://reservations.travelclick.com/99958?groupID=2029739

The dates for the reunion are: June 13 -17, 2018. To reserve your room(s), please contact: Harborside Hotel, 6400 Oxon Hill Road, Oxon Hill, MD 20745 at 301-749-9400. The room rate is $139.00 (+ 13% taxes per night). Be sure to ask for Burke High School Class of 1963 Rate. Room rate includes complimentary breakfast, parking and shuttle to MGM, Tanger Outlets & National Harbor.

Assessments

Classmates -- $375.00 via Check & U.S. Mail -- $386.51 Via Credit Card online payments.

Each Guest -- $125.00 via Check & U.S. Mail -- $129.04 Via Credit Card online payments.

If you decide to pay online, note that the convenience fee is built into your payment amount. This guarantees that the Burke High School Class of 1963 Committee will receive the full amount assessed.

If you would like to download and mail your payment and registration instead of completing it online, click downloadable form link.

Complete the Registration Details below to submit your online registation and payment.
Full Name*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Number*

Area CodePhone Number
E-mail
Are You Bringing A Guest(s)?

YesNo
Name of Guest #1
Name of Guest #2
Name of Guest #3
(Partial Payments Are Accepted)

You may make payments in the amounts listed below.

Registration Payments can be broken down into two payments. At least $200.00 ($206.28 online) must be paid at the time of registration. The remaining balance(s) (including guests payments) must be paid by February 15, 2018.
Registration Payment to Submit Via PayPal -- Convenience Fee Has Been Added to Each Submission
prevnext( X )
Registration Assessment $386.51

Guest # 1$129.04

Guest #2$129.04

Guest #3$129.04

Partial Payment #1$206.28

Partial Payment #2$180.54

Total $0.00
COMMENTS: Your comments and suggestions are welcome.
Note: After you click the submit button, you will see PayPal on the screen. If you don't have a PayPal account, and you want to use your credit card, scroll down and enter your account information. You may use cards such as: Visa, MasterCard, or American Express.
Thank you for your support and cooperation.

After completing the form, print it and click the Submit Button.
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