Wine and Stein | Alumni | Monmouth University

Email

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Registration

Class Year at Monmouth(Required)

Maiden Name (if applicable)

Preferred Name

As you would like it to appear on your name tag that evening.

Preferred Pronouns

Email(Required)

Cell Phone(Required)

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Billing Information

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Billing Name

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Billing Email

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Billing Day Phone

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Billing Night Phone

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Billing Mobile Phone

Guest Registration

Guest 1

Class Year at Monmouth(Required)

Preferred Name

As you would like it to appear on your name tag that evening.

Preferred Pronouns

Guest 2

Class Year at Monmouth(Required)

Preferred Name

As you would like it to appear on your name tag that evening.

Preferred Pronouns

Guest 3

Class Year at Monmouth(Required)

Preferred Name

As you would like it to appear on your name tag that evening.

Preferred Pronouns

Order Summary

Total

Be Advised: All attendees must be at least 21 years old to participate. Attendees must bring a valid photo ID to verify their age. Current students are strictly prohibited. Payment for registrations not kept or cancelled are non-refundable.

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Registration Fees

Early Bird Ticket – Registrant

Price:

Early Bird Ticket – Guest 1

Price:

Early Bird Ticket – Guest 2

Price:

Early Bird Ticket – Guest 3

Price:

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