REGISTRATION FORM N A C S Z P Es/75th...REGISTRATION FORM OCTOBER 9-11, 2009 Yes! My spouse/family...

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REGISTRATION FORM OCTOBER 9-11, 2009 Yes! My spouse/family will be accompanying me to the celebration. Total number attending_______. A registration option without Saturday lunch is available for those who will participate in the spousal/family program. *Activity prices are for transportation only. Admission will be charged at the event. See Spousal/Family Program section for admission charges. **Indianapolis drop off locations: 1) White River State Park (includes, Eiteljorg Museum of American Indians and Western Art, Indiana State Museum, IMAX Theater, NCAA Hall of Champions, Congressional Medal of Honor Memorial, Wheel Fun Rentals, Segway Tours of White River State Park) 2) Indianapolis Zoo 3) Children’s Museum Please advise us of any dietary restrictions, necessary auxiliary aids, or other assistance you may require. ______________________________________________________________________________________________________________ Please make checks payable to: Purdue Ag Alumni Association Refunds for spousal/family program payments will be provided if the activity is cancelled due to low registration. Credit Card Orders: Check one MasterCard Visa Card#_______________________________________ Cost for spousal/family program will not be charged until we know that we have enough participants. Expiration Date_________________Signature_____________________________________ Print and mail or fax form to: Purdue Ag Alumni Association Purdue University 715 West State Street West Lafayette, IN 47907-2061 Phone: 765-494-8593 FAX: 765-494-9626 REGISTRATION DEADLINE IS FRIDAY, SEPTEMBER 4, 2009 If you have questions about registration payment, please contact the Ag Alumni Office. 765-494-8593 or email [email protected] Registration Number Cost per Person Amount Full Registration $50 $ Registration / no lunch option $35 $ Spouse/Family Program Transportation Number Transportation Cost* Amount Saturday, October 10 Fair Oaks Farms $20 $ Exploration Acres Corn Maze $5 $ Indianapolis** $20 $ Feast of the Hunter’s Moon $0 TOTAL $ REGISTRATION AND ACTIVITIES Please include the names of everyone in your party (including yourself) for name tags. Please print clearly. _______________________________________ _______________________________________ _______________________________________ _______________________________________ Name___________________________________________________ Address__________________________________________________ City/State/Zip___________________________________________ Phone___________________________________________________ Email___________________________________________________ *May we share your name and email on our 75 th Anniversary website? Yes No

Transcript of REGISTRATION FORM N A C S Z P Es/75th...REGISTRATION FORM OCTOBER 9-11, 2009 Yes! My spouse/family...

Page 1: REGISTRATION FORM N A C S Z P Es/75th...REGISTRATION FORM OCTOBER 9-11, 2009 Yes! My spouse/family will be accompanying me to the celebration. Total number attending_____. A registration

REGISTRATION FORM

OCTOBER 9-11, 2009

Yes! My spouse/family will be accompanying me to the celebration. Total number attending_______.

A registration option without Saturday lunch is available for those who will participate in the spousal/family program.

*Activity prices are for transportation only. Admission will be charged at the event. See Spousal/Family Program section for admission charges. **Indianapolis drop off locations: 1) White River State Park (includes, Eiteljorg Museum of American Indians and Western Art, Indiana State Museum, IMAX Theater, NCAA Hall of Champions, Congressional Medal of Honor Memorial, Wheel Fun Rentals, Segway Tours of White River State Park) 2) Indianapolis Zoo 3) Children’s Museum

Please advise us of any dietary restrictions, necessary auxiliary aids, or other assistance you may require. ______________________________________________________________________________________________________________ Please make checks payable to: Purdue Ag Alumni Association Refunds for spousal/family program payments will be provided if the activity is cancelled due to low registration. Credit Card Orders: Check one MasterCard Visa Card#_______________________________________ Cost for spousal/family program will not be charged until we know that we have enough participants. Expiration Date_________________Signature_____________________________________

Print and mail or fax form to: Purdue Ag Alumni Association

Purdue University 715 West State Street

West Lafayette, IN 47907-2061 Phone: 765-494-8593 FAX: 765-494-9626

REGISTRATION DEADLINE IS FRIDAY, SEPTEMBER 4, 2009 If you have questions about registration payment, please contact the Ag Alumni Office.

765-494-8593 or email [email protected]

Registration Number Cost per Person

Amount

Full Registration $50 $ Registration / no lunch option $35 $

Spouse/Family Program Transportation

Number Transportation

Cost* Amount

Saturday, October 10 Fair Oaks Farms $20 $

Exploration Acres Corn Maze $5 $

Indianapolis** $20 $ Feast of the Hunter’s Moon $0

TOTAL $

REGISTRATION AND ACTIVITIES

Please include the names of everyone in your party (including yourself) for name tags.

Please print clearly. _______________________________________ _______________________________________ _______________________________________ _______________________________________

Name___________________________________________________

Address__________________________________________________

City/State/Zip___________________________________________

Phone___________________________________________________

Email___________________________________________________ *May we share your name and email on our 75th Anniversary website? Yes No

Page 2: REGISTRATION FORM N A C S Z P Es/75th...REGISTRATION FORM OCTOBER 9-11, 2009 Yes! My spouse/family will be accompanying me to the celebration. Total number attending_____. A registration

From Indianapolis Airport to Purdue: Shuttle bus through Lafayette Limo (Approximately 1.5 hours) www.lafayettelimo.com From Chicago to Purdue: Shuttle bus through Express Air Coach (Approximately 4 hours) www.expressaircoach.com

LODGING

The following hotels have blocked rooms for the 75th Biochemistry Anniversary. Please call the hotel directly and ask for the Biochemistry block when booking your room. Be sure to check with each hotel regarding cancellation policies and other details. The hotels have agreed to hold the rooms until September 5th. Hampton Inn

3941 St. Rd. 26 E. Lafayette, IN 47905 765-447-1600 Room Type: 1 King bed Rates: $95 per night, plus tax www.hamptoninn.com Free continental breakfast offered No shuttle service to Purdue Campus

Homewood Suites by Hilton

3939 St. Rd. 26 E. Lafayette, IN 47905 765-449-9700 Room Type: 1 King bed Rates: $105 per night, plus tax www.homewoodsuites.com Free continental breakfast offered Free shuttle service available to and from Purdue Campus-reserve in advance with front desk

University Plaza Hotel

3001 Northwestern Ave. West Lafayette, IN 765-463-5511 or 800-777-9808 Room Type: 2 Full beds or 1 King bed Rates: Single $92 per night plus tax, double $102 per night plus tax www.universityplazahotelwestlafayette.com Continental breakfast offered Monday-Friday only Free shuttle service to and from Purdue Campus between 8:00am-10:00pm-reserve in advance with front desk

Holiday Inn Select

515 South St. Lafayette, IN 47901 765-423-1000 or 800-423-1137 Room Type: 2 Full beds or 1 King bed Rates: $95 per night plus tax www.hiscc.com No continental breakfast offered Free shuttle service to and from Purdue Campus between 8:00am-9:00pm-reserve in advance with front desk

Best Western Lafayette Executive Plaza

4343 State Road 26 E. Lafayette, IN 47905 765-447-0575 or 888-295-2346 Room Type: 2 Full beds Rates: $98 per night plus tax www.bestwestern.com No continental breakfast offered Drop off and pick up point for Lafayette Limo Shuttle (to and from Indianapolis Airport) No shuttle service to Purdue Campus

*See reverse side of this page for hotel locations

TRANSPORTATION TO WEST LAFAYETTE

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LODGING

Best Western (5.3 miles to campus) Holiday Inn Select (1.7 miles to campus) Hampton Inn (4.8 miles to campus) University Plaza Hotel (1.7 miles to campus) Homewood Suites by Hilton (5.2 miles to campus)

Biochemistry Building

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Direct links to the events below can be found on our website: www.biochem.purdue.edu Click on “Biochemistry 75th Celebration” (left side of the page)

Fair Oaks Farms The Fair Oaks Adventure Center is not your ordinary information center. Located on an operating dairy farm, it offers exhibits that explain how the dairy industry protects the environment, cares for the cows, and ensures the highest quality milk possible. You can tour the dairy farm and

see the milking process first hand. The Birthing Barn is a unique facility designed to showcase the miraculous creation of life. Don’t forget to visit

the Fair Oaks Farms Dairy Store during your visit for some of their award-winning cheese.

Transportation fee to and from Fair Oaks Farms: $20 per person

The bus will leave the Biochemistry Building at 10:00 am and will return at 3:00 pm. Admission Price: Adults $10, Children 3-12 $7, Children 2 and under Free Exploration Acres Corn Maze At Exploration Acres, there is so much to do. Once you

arrive you can warm-up with a quick run through the straw bale maze, then visit the 15-acre corn maze with over 5 miles of twists and turns (the largest corn maze in north-central Indiana!).

Transportation fee to and from maize: $5 per person. The van will leave the Biochemistry Building at 12:30 pm,

1:30 pm, 2:30 pm with return trips every 60 minutes. Admission Price: Adults $8, Children $5, Children 5 and under are free with paid admission

Feast of the Hunter’s Moon The Feast of the Hunters' Moon is a re-creation of the annual fall gathering of the French and Native Americans which took place Fort Ouiatenon, a fur-trading outpost in the mid - 1700s. Thousands of participants re-enact this event creating a feast for your senses. Transportation fee to and from the Feast: Free Buses leave from Purdue Ross-Ade Stadium parking lot. Admission Price: Adult $12, Child $6

SPOUSAL/FAMILY PROGRAM

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Transportation fee to and from Indianapolis: $20 per person Bus will leave Biochemistry Building at 10:00 and will return at 5:00.

White River State Park includes the Eiteljorg Museum of American Indians and Western Art, Indiana State Museum, IMAX Theater, NCAA Hall of Champions, Congressional Medal of Honor Memorial, Wheel Fun Rentals, and a Segway Tour

of White River State Park. Drop off time 11:30; Pick up time 3:30. Please visit the Biochemistry website for direct links to each attraction and a map

of White River State Park. Direct links will provide admission cost for each site.

Indianapolis Zoo and White River Gardens are located in the White River

State Park. It has grown into a world-class facility hosting a million visitors each year and playing a major role in worldwide conservation and research. The White River Gardens is located on a 3.3 acres and contains over one thousand plant varieties. Admission Price to Zoo and Gardens: Adults $14, Seniors and Youth (2-12) $9, Children 1 and under Free. Drop off time 11:30; Pick up time 3:30.

The Children’s Museum of Indianapolis is the world’s largest children’s museum and has been ranked #1 by Parents magazine for their quality of exhibits and programming as well as their availability and experience of staff. The museum features miniature exhibits, resource centers, a planetarium, natural and physical science building activities, and much more. Admission price: Adult $14.50, Senior (60+) $13.50 and Youth (2-17) $9.50. Drop off time 11:45; Pick up time 3:45.

The Children’s Museum is also hosting the “Tutankhamun: The Golden King and the Great Pharaohs” Exhibit from June 27-October 25, 2009. The exhibition includes displays of 130 authentic artifacts from the tomb of King Tutankhamun. Admission price to the exhibit: $30 for adults and $27.50 for seniors. Tickets for youth ages 2-17 are $15 and children ages 2 and under are free. Advance purchase may be required.

“White River State Park is Indianapolis’ version of the Mall

in Washington.” -The New York Times

Eiteljorg Museum

NCAA Hall of Champions

Flying Wedge formation, bronze statue

Indiana State Museum

Indianapolis

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Adelino’s Old World Kitchen (Tapas) 112 N. 3rd Street Lafayette, IN 765-429-6125

Baja Penninsula (Contemporary) 1904 US Highway 52 W. West Lafayette, IN 765-463-4327

Bea One (Korean) 220 Columbia Street Lafayette, IN 765-742-6100

Bistro 501(French) 501 Main Street Lafayette, IN 765-423-4501

Blue Fin Bistro (Sushi) 2 S. 4th Street Lafayette, IN 765-742-6600

Bombay (Indian) 111 S. River Road West Lafayette, IN 765-746-2345

Heisei (Japanese) 1048C Sagamore Pkwy W. West Lafayette, IN 765-463-1682

Triple XXX Family Restaurant 2 North Salisbury West Lafayette, IN 765-743-5373

Harry’s Chocolate Shop 329 W. State St. West Lafayette, IN 765-743-1467

Kokoro (Japanese) 526 Main Street Lafayette, IN 765-742-8180 Lafayette Brewing Company (Pub and Microbrewery) 622 Main Street Lafayette, IN 765-742-2591 La Scala (Italian) 312 Main Street Lafayette, IN 765-420-8171 McGraw’s Steak, Chop and Fish House (formerly Stiney’s) 2707 S. River Road West Lafayette, IN 765-743-3932 Red Seven Bar & Grill (Contemporary) 200 Main Street Lafayette, IN 765-742-7337 Thai Essence (Thai) 1534 Win Hentschel Blvd. West Lafayette, IN 765-269-9380

DINING OPTIONS

OLD TIME FAVORITES