WCMS Alumni | Conference Registration Form

July 22, 2010 from 9 a.m. - 4:30 p.m. (registration opens at 8:30am)

Pomona College
333 N. College Way
Claremont, CA 91711

Smith Campus Center
(Map of room location will be sent with registration confirmation)

Cost $59

Graduation dinner tickets are $41 per person.

Don’t Miss This Event! Register before July 20, 2010.

Please complete a seperate registration for each attendee!

All cancellations must be received within 72 hours or conference.

	Contact Info
	First Name:

	Last Name:

	Organization:

	Year Graduated:
	Is this a home or business address?		HomeBusiness
	Address 1:

	Address 2:

	City:

	State:

	Zip:

	Phone:

	Email:


	Current WCMS Alumni Membership Status
	Yes, I am a WCMS Alumni Member No, I am not currently WCMS Alumni Member

	Number of Conference Tickets to Purchase:
	Number of Dinner Tickets to Purchase:

	I would like to mail in a check to pay for my registration. I would like to pay electronically: