2012 Milwaukee Alumni, Faculty, and Friends Reception

Wednesday, April 25, 2012
5:30 p.m - 7:30 p.m.

Milwaukee Athletic Club
758 N Broadway
Milwaukee, Wisconsin
(414) 273-5080

Complimentary hors d'oeuvres and soft drinks
Cash bar for alcoholic beverages

Business attire

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1. First Name:

First Name:

*
2. Last Name:

Last Name:

*
3. E-mail Address:

E-mail Address:

*
4. Contact Information:

Contact Information: Company:
Address:
Address 2:
City/Town:
State:
ZIP:
Phone Number:

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5. Class Year:

Class Year: Yes

If yes, please enter your class year:

*
6. Number Attending:

Number Attending:

*
7. I will be bring a guest(s):

I will be bring a guest(s): Yes

If yes, please enter the name of your guest(s) and company/organization for their name badge:

8. I would like to send my regrets:

I would like to send my regrets: I am unable to attend.

2012 Milwaukee Alumni, Faculty, and Friends Reception

*1. First Name:

*2. Last Name:

*3. E-mail Address:

*4. Contact Information:

*5. Class Year:

*6. Number Attending:

*7. I will be bring a guest(s):