Registration (one copy should be filled out for each person attending)

Name of Event: _________________________________________________________________________________

_______________________________________________________________________________________________

Cost of Reservation: ______________________________________________________________________________


How should the name of the organization you represent appear on on name tags? (please print)

_______________________________________________________________________________________________

_______________________________________________________________________________________________

Your Name:____________________________________________________________________________________

Title: __________________________________________________________________________________________

Choice of Entree:________________________________________________________________________________

With whom should you be seated?__________________________________________________________________

Address (where should we send any notices or materials, should it be necessary): _________________________

_______________________________________________________________________________________________

City, state, zip:  _________________________________________________________________________________

Phone:_________________________________________ Fax:____________________________________________

Email: _________________________________________________________________________________________


If you have any questions or comments, please feel free to contact us at: 414-273-8683, or 414-342-0883.  Or, send us an email at: info@lwvmilwaukee.org

Please mail the completed form along with your non-tax deductible check for registration to:  LWV Milwaukee County, 1845 N. Farwell Ave. Suite 102, Milwaukee WI, 53202.