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Sprunt Registration

Name (for mailing):

Name:
(first or informal name for name tag)

Union-PSCE Alumni/ae:

My class year is:

Mailing Address:

Street:

City, State Zip :

Home Phone:
(area code + #)

Email Address:

Attending with me:

Name:

If alumnus/a, class year:

Do you plan to attend the Sprunt Lectures (no charge)?

Yes

Do you need information about child care?

Yes

Meal Reservations and Advance Payment is required for:

Meal Reservations: We regret that we cannot accept payment by credit card. Please pay by check and indicate the date you will mail your check so we can look for it. This payment is non-refundable.

Please make your selections below.

Number of person(s)

Cost per meal

Total Amount

Monday Dinner

Yes

x $10.00 =

Tuesday Continental Breakfast

Yes

x $6.00 =

Tuesday Alumni/ae Luncheon

Yes

x $10.00 =

Tuesday Alumni/ae Banquet

Yes

x $10.00 =

Wednesday Continental Breakfast

Yes

x $6.00 =

Wednesday Luncheon

Yes

x $6.00 =

Total Amount: $

I plan to send a check payable to Union-PSCE on (date).

The dead line for registering is April 30, 2008.

To complete your registration:

Make checks payable to Union-PSCE. Must be received by April 30 and is non-refundable.

Mail to:

The Sprunt Lectures
Union-PSCE
3401 Brook Road
Richmond, VA 23227

I need further information concerning: