Class of 1989: REGISTRATION FORM

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1 Reunion registration closes on Monday, May 26. Mail this form with your check, payable to Harvard University, to HMS Alumni Office: 401 Park Drive, Suite 22 West, Boston, MA If you wish to pay by credit card, visit to access the secure online registration site. Questions? Please contact Chelsea Keating at (617) or by at Class of 1989: REGISTRATION FORM Please print clearly. First Name or Nickname (to appear on nametag): Last Name (to appear on nametag): Name at Graduation (if different than above): Daytime Phone Number: Address: City: State: HMS/HSDM Degree(s): HMS/HSDM Year(s): Guest First and Last Name (to appear on nametag): If your guest is an HMS or HSDM graduate, please indicate their class year: If you have more than one guest, please list them on the last page. I allow HMS/HSDM to: If left blank, we will include your information. List my name, city, state, and address in the printed Directory of Attendees Yes No Add my name to the attendees list on the HMAA website Yes No

2 Please indicate any special access needs or dietary restrictions for you and your guest(s). Requests will be applied to all Reunion events. _ # Page 2 of 5 HMS/HSDM REUNION: Class of 1989 Early Registration, 5/23/14 REGISTRATION FEE: Per Registration WEDNESDAY, MAY 28: 6:30 p.m. Class of 1989 Welcome Reception Hosted by Michael Givertz and Joanne Wolfe, Jamaica Plain THURSDAY, MAY 29: All-day Satellite Parking Parking is available in the Museum of Fine Arts, Boston Museum Road Garage (20 Museum Road), by advanced registration. Due to construction in the HMS Quad Garage, parking is NOT available on campus. 8:30 a.m. Continental Breakfast 9:30 a.m. Noon (check one) Faculty Symposium Immunity and Inflammation in Disease and Therapy Class of th Reunion Symposium Doc of All Ages, morning session Noon 1:30 p.m. (check one) Lunch Lunch Seminar Give and Receive: Your Retirement and Philanthropic Legacy 1:30 4 p.m. Class of th Reunion Symposium Doc of All Ages, afternoon session 70 Page Sub-

3 THURSDAY, MAY 29, Continued: 6 p.m. Reunion Gala Reception and Dinner Four Seasons Hotel Boston Reception and class photo Followed by a private Class of 1989 dinner Pre-paid valet parking at Four Seasons Pre-order 8 10 class photo (taken at Gala) FRIDAY, MAY 30: All-day Satellite Parking Parking is available in the Museum of Fine Arts, Boston Museum Road Garage (20 Museum Road), by advanced registration. Due to construction in the HMS Quad Garage, parking is NOT available on campus. 8:30 a.m. Continental Breakfast 9:30 10 a.m. (check one) Annual Business Meeting Harvard Medical Alumni Association Annual Business Meeting Harvard Dental Alumni Association 10:15 11:45 a.m. (check one) HMS Alumni Day Symposium Up in Smoke: 50 Years of Policy, Perception, and the Public s Health HSDM Alumni Day Symposium Stories from Beyond the Mouth Noon 12:30 p.m. (check one) HMS State of the School Address Dean Jeffrey S. Flier, MD HSDM State of the School Address Dean Bruce Donoff, DMD 67, MD 73 12:30 2 p.m. Lunch per car 25 per photo Page Sub- Page 3 of 5 HMS/HSDM REUNION: Class of 1989 Early Registration, 5/23/14

4 FRIDAY, MAY 30, Continued: 2 p.m. HMS new Clinical Skills Center Tour HSDM Campus Tour 4 6 p.m. Class of 1989 Informal Gathering Ballard Room, Countway Library 7:10 p.m. Red So vs. Tampa Bay Rays at Fenway Park 8 p.m. Boston Pops: Gatsby Night Symphony Hall Floor Seats, Front Section Floor Seats, Back Section SATURDAY, MAY 31: 11 a.m. Private Art of the Americas Wing Tour Museum of Fine Arts, Boston 1:45 p.m. 6 p.m. Private Isabella Stewart Gardner Museum Tour Class of 1989 Dinner Ristorante Saraceno, Boston s North End FAMILY AND GUEST ACTIVITIES: THURSDAY, MAY 29 1:15 3 p.m. Fenway Park Tour with Trolley Service Adult Fenway Park Tour with Trolley Service Child, ages :15 p.m. Trolley Service to Shopping Boston s Back Bay Page Sub- Page 4 of 5 HMS/HSDM REUNION: Class of 1989 Early Registration, 5/23/14

5 FAMILY AND GUEST ACTIVITIES: FRIDAY, MAY 30 2:30 4 p.m. Adult Child, ages 4-15 Child, ages GENERAL ADMISSION TICKETS Institute of Contemporary Arts/Boston 15 Museum of Fine Arts, Boston 20 New England Aquarium 20 OPTIONAL Reunion Report Voluntary Payment 55 Reunion Class Gift Page Sub- TOTAL ENCLOSED (sum of all Page Sub-s) Mail this form with your check, payable to Harvard University, to HMS Alumni Office: 401 Park Drive, Suite 22 West, Boston, MA Questions? Please contact Chelsea Keating at (617) or by at List additional guests from page one below. Page 5 of 5 HMS/HSDM REUNION: Class of 1989 Early Registration, 5/23/14

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