Wilder School Excellence in Virginia Government Awards Luncheon
Tuesday, November 28, 2006 11:30 a.m. - 2 p.m. at Richmond Marriott
First Name
*
:
MI:
Last Name
*
:
Dr.
Mr.
Mrs.
Ms.
Company Name
*
:
Address:
City:
State:
Zip Code:
Daytime Phone:
Email
*
:
Total No. of Attendees
*
:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
(General Admission Fee: $30.00 per seat.)
Total Fee:
$
List of Attendees
Name
*
Dietary Restrictions
Attendee Type
alumnus
faculty
student
friend
*
: Required field.
If you have questions, Contact:
Shirley McDaniel (804)827-0867 or email:
srmcdani@vcu.edu
Virginia Commonwealth University
School of Social Work
P. O. Box 842027
1001 West Franklin Street
Richmond, Virginia 23284