Please print this form and mail with your check to:
UTC Alumni Office
615 McCallie Avenue Dept. 6506
Chattanooga , TN 37403-2598

Atlanta Alumni Basketball Trip
Saturday, January 22, 2005

Meet the group at the Galleria Mall at Jocks and Jills at 9:15 a.m.
Bus will depart promptly at 9:30 a.m.

Pre-Game Luncheon with Dr. and Mrs. Obear
Patten House, 801 Oak Street
12:00 Noon

UTC vs ETSU
2:00 p.m. Tip Off

Cost of Trip-$25/person (includes snacks, general admission ticket & lunch)
Reservations must be received by January 13, 2005.

Name__________________________________________________________________

Address________________________________________________________________

________________________________________________________________________

Daytime Phone#________________________________________________________

Email Address__________________________________________________________

Guest(s) Name(s)_______________________________________________________

________________________________________________________________________

Number of People Attending - ___________@ $25 each

Total Amount Enclosed - $_______________

Please make your check payable to UTC Alumni and mail with this form to the address above by
January 13, 2005. Tickets to the basketball game will be picked up at the luncheon.