Parents & Families

Unpack and Unwind Dinner

2018 Unpack and Unwind New Student Dinner

Thursday, August 16, 2018

5:00 - 7:00 PM

University Center

Basic Information

Student Full Name*

Email*

Phone*

Parent Information

Parent First Name

Parent Middle Initial

Parent Last Name

Street Address

City

State

Zip

Order Information

USI students and children age 3 and under are complimentary. Paid guests are $9.00 per person.

Total Number of Paid Guests*

Total*

$

Total Attendance Number*

(including student(s) and children 3 and under)

Payment Information

Name on Card

Card Number

Exp Month

Exp Year

CVV Code (?)

Form Validation

© 2018 University of Southern Indiana
8600 University Blvd.
Evansville, IN 47712
812-464-8600

A Carnegie Foundation Engaged University