The Greater Philadelphia Area Illini Club Event Form
(click "Printer Friendly" at bottom to print a page for mailing)

Last Name: __________________________________________
First Name: __________________________________________
Street Address:________________________________________
City:________________________ State:___________________
Zip:_______________
Phone: _________________________
Email: __________________________
Event: __________________________
Quantity of Tickets: ________________
Amount of Payment Submitted: _______________
[ ] Enclosed check made payable to Greater Philadelphia Alumni Club

Please mail event form with payment to
Greater Philadelphia Alumni Club
c/o Alumni Events
P.O. Box 42197
Philadelphia, PA 19101.

Please do not send cash. Thank you!