Distinguished Alumni Awards

Current: Registrant -> Guests -> Billing -> Review -> Finish

Registrant

Are you attending? Required Field

Are you attending? Yes
No

First Name: Required Field

Maiden Name:

Last Name: Required Field

Class Year:

Preferred Phone: Required Field

Preferred Email: Required Field

Address:

City:

State:

Zip:

Tickets to the Distinguished Alumni Awards Dinner & Ceremony: Required Field

Quantity:
$30.00

If you have purchased more than one ticket, please indicate the names and class years (if applicable) of the guests who will be joining you:

Attending in honor of: Required Field

Attending in honor of: Celia Johnston Blue '00
Renah M. Razzaq '02
David F. Cawley '74
Maryanne M. Hammond '69 M.Ed. '72 M.Ed. '77
George E. Annan Jr. '21

In addition to my RSVP, I would like to make a gift to The Worcester State Foundation:

I would like to make my gift in honor of:

Please indicate any dietary restrictions: