GLUE Dinner Registration

1. GLUE Thursday & Friday Dinner Registration

GLUE is pleased to open up two events that are part of the GLUE Conference 2009 to Milwaukee locals who can't attend the entire conference. You must complete the following information to register. Please note, your registration is not complete until you make the appropriate donation to GLUE (directions are at the end of this survey).

More information about particular events and speaker bios, can be found on the conference blog: http://glueconference2009.wordpress.com/.

Complete questions 2-3 to register for the Thursday dinner on Local Government and the Role of Young Leaders. Complete questions 4-7 to register for the Friday dinner on Public Transit.

1. Who are you?

Who are you? Name:
Organization:
Address:
City/Town:
State:
ZIP:
Work Number:
Email Address:
Cell Number:

2. I would like to register to attend dinner on Thursday.

Where: Sprecher Brewery, 701 W. Glendale Ave., Glendale
When: 6:00 - 9:30
What: Speeches by Common Council President Willie Hines, and CEO of CEOs for Cities, Carol Coletta; brewery tour; locally-sourced food catered by Papineau & Co (vegetarian/vegan options available)

Tickets are $45 per plate, unless you buy a group of 4, which gives you a discount of $20.

I would like to register to attend dinner on Thursday. Where: Sprecher Brewery, 701 W. Glendale Ave., Glendale When: 6:00 - 9:30 What: Speeches by Common Council President Willie Hines, and CEO of CEOs for Cities, Carol Coletta; brewery tour; locally-sourced food catered by Papineau & Co (vegetarian/vegan options available) Tickets are $45 per plate, unless you buy a group of 4, which gives you a discount of $20. 1 ticket ($45)

2 ticket ($90)

3 tickets ($135)

4 tickets (discounted rate of $160)

3. If you are purchasing more than one ticket, please provide the name of your guest(s) (for Thursday's dinner at Sprecher).

If you are purchasing more than one ticket, please provide the name of your guest(s) (for Thursday's dinner at Sprecher). My name:
Guest #1:
Guest #2:
Guest #3:

4. I would like to register to attend dinner on Friday.

Where: Trocadero, 1758 N. Water St., Milwaukee
When: 7:00 - 10:00
What: Speech by Dave Wetzel entitled "Using Land Value to Build Sustainable Communities;" training and workshopping in using the Transportation for America campaign's grassroots tools

Tickets are $30 per plate, unless you buy a group of 4, which gives you a discount of $20.

I would like to register to attend dinner on Friday. Where: Trocadero, 1758 N. Water St., Milwaukee When: 7:00 - 10:00 What: Speech by Dave Wetzel entitled "Using Land Value to Build Sustainable Communities;" training and workshopping in using the Transportation for America campaign's grassroots tools Tickets are $30 per plate, unless you buy a group of 4, which gives you a discount of $20. 1 ticket ($30)

2 ticket ($60)

3 tickets ($90)

4 tickets (discounted rate of $100)

5. If you are purchasing more than one ticket, please provide the name of your guest(s) (for Friday's dinner at Trocadero).

If you are purchasing more than one ticket, please provide the name of your guest(s) (for Friday's dinner at Trocadero). My name:
Guest #1:
Guest #2:
Guest #3:

6. Please select which dinners you and your guests would like to order for FRIDAY, by putting the number of orders of each item in the appropriate box.

	#:
Provencal grilled tuna bistro sandwich	Please select which dinners you and your guests would like to order for FRIDAY, by putting the number of orders of each item in the appropriate box. Provencal grilled tuna bistro sandwich #:
Chicken cordon bleu bistro sandwich	Chicken cordon bleu bistro sandwich #:
Brie, tomato, and basil bistro sandwich	Brie, tomato, and basil bistro sandwich #:
Chateauneuf du burger	Chateauneuf du burger #:
Bistro salad (vegan)	Bistro salad (vegan) #:

7. Please send me updates and action alerts regarding transit in Southeastern Wisconsin through the Google Group "Coalition for Advancing Transit."

Please send me updates and action alerts regarding transit in Southeastern Wisconsin through the Google Group "Coalition for Advancing Transit." Yes

Please immediately complete your registration by making the appropriate donation to GLUE:

https://npo.networkforgood.org/Donate/Donate.aspx?npoSubscriptionId=1001067&uniqueID=633716630777600560