2020 Alumni Reunion and Medallion Ceremony Registration - D/AR Staff Use

1Registration

2Schedule of Events

3Payment Method

Registration
Name*
First Last (Maiden Name)
Program*
Graduation Year
Phone*
Email*
T-Shirt Size*
Address
Address*
Street Address Address Line 2 City State ZIP Code
Guest Information
How many guests will you be bringing?
Please enter a number from 0 to 5.
Registration fee (per person)
Price:
*This includes your own registration fee
Guest registration fee
Total
$0.00
Name
First Last
Name
First Last
Name
First Last
Name
First Last
Name
First Last
Accommodations
A hotel room block has been reserved at the Des Moines Marriott Downtown, 700 Grand Ave, Des Moines for $149 plus tax per night.
Book your group rate for Des Moines University - Alumni Reunion, May 2022
Check here if you need help making a reservation through the DMU hotel block; a staff member will be in touch to help you.
If not using the DMU hotel block, where will you be staying?
Arrival Date
MM slash DD slash YYYY
Departure Date
MM slash DD slash YYYY
Special Accommodations
Do you require wheelchair accessibility?
- Yes
- No
Do you have any dietary restrictions?
- Yes
- No
Please describe:

2020 Alumni Reunion and Medallion Ceremony Registration – D/AR Staff Use