NEW Brandeis Hall of Fame Registration

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Email address *

First name *

Last name *

Number of attendees *

Names of attendees *

Please include full names to be printed on name tags of all attendees, separated by commas.

Are you being inducted?

Yes No

Have you previously registered on the Alumni Association web site? *

Some people have previously registered and paid by credit card via the Alumni Association web site. Please let us know if you have done so in order for us to make sure you are accounted for.

Yes No

Which inductees are you supporting? *

Israel "Ace" Weinstein 1957-58 Men's Basketball Team Brenda Schafer '77 Nelson Figueroa '98

Thank you for registering for the 2015 Joseph M. Linsey Hall of Fame! Please send a check for $100 per attendee ($75 for children under 12) made out to Brandeis Athletics to

Brandeis Department of Athletics

Hall of Fame Registration

attn: Michael Matt

415 South Street

MS 007

Waltham, MA 02453-9110

* required field

FOBA

NEW Brandeis Hall of Fame Registration