WPSMI 2008 Founders Day - RSVP FORM

Name, class, and phone number are required to make your reservation. The additional data will be used
to create an updated Society Roster. Please provide all information you wish to include in the Roster. 

_____ I do not want my personal and business information to appear in the Roster.

If you have not contacted the Society in more than a year, and wish to remain on the Society Roster,
please contact .
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I wish to reserve ____ seats for the 2008 Founders Day Dinner @ $60/person

The enclosed check does ____ does not ____ include $25.00 for my 2008 Annual Dues.

MENU (Specify # ): Salmon  _____   Filet Mignon  _____  Vegetarian  _____

NAME:         ____________________________________    CLASS: _____   TITLE (CPT, Mr, Ms): ______

GUESTS:    _____________________________________     _____________________________________

                  _____________________________________     _____________________________________

_____ I / We have special menu requirements.(Contact KC Baran '92, 810-936-5211, with details.)

PERSONAL INFORMATION:

Address:     ___________________________________ City _____________________ State____  Zip:________

Telephone:  ____________________   Mobile:____________________  Other:____________________

E-Mail:         __________________________________________

Spouse:      __________________   Children (Ages): _____________________________________________

BUSINESS INFORMATION:

Company:   ______________________________________   Dept/Office:_________________________________

Job Title:      ______________________________________

Address:     ___________________________________ City _____________________ State____  Zip:________

Telephone:  ____________________  Ext.: _____  FAX: ____________________  Other:____________________

E-Mail:         __________________________________________

ADDITIONAL INFORMATION:

_____ I have added short comments about my business, hobbies, etc. on the back of this form (for the Society Roster).

_____ I am willing to help grads with Job Searches         _____ I would like to network with grads for business

_____ I would like to assist with USMA admissions/recruiting efforts in SE Michigan.

Send this form NLT 01 Mar 08, along with a check payable to "WPSMI", to:

K.C. Baran, 5151 Harp Drive, Linden, MI  48451