White House Fellows Foundation and Association Annual Meeting 2007
REGISTRATION FORM
Name: WHF Class:
Phone: email:
SSN: Date of Birth:
Address:
Dietary Restriction:
Names of Guests/Mentees:/SSN´s/DOB´s:
 
Active Member (dues paying) and Guest Early Bird Registration by September 30, 2007
Price Party Subtotal
Full 3 Day Package, to include Saturday´s Behind the Scenes at the National Portrait Gallery
Thursday only
Friday only
Active Members (dues paying) and Guest Registration
Price Party Subtotal
Full 3 Day Package, to include Saturday´s Behind the Scenes at the National Portrait Gallery
Thursday only
Friday only
Inactive Members (non-dues paying) and Guest Registration:
Price Party Subtotal
Full 3 Day Package, to include Saturday´s Behind the Scenes at the Library of Congress
Thursday only
Friday only
If not attending the full meeting program, please check the special events you will attend:
Price Party Subtotal
Luncheon with Honorable Nancy Pelosi (invited) on Thursday, Oct 25th
Reception Honoring the Class of 2007-08 White House Fellows, Thursday evening, October 25th: (Cocktail Buffet)
Commissioners´ Luncheon with Myrna Blyth, Chair of the President´s Commission on White House Fellowships: Friday noon, October 26th
2007 Legacy of Leadership/Jack Valenti Tribute Reception and Dinner at the Capital Hilton Hotel, Friday evening, October 26th
Behind the Scenes at the National Portrait Gallery on Saturday, October 27th
Total:
Please indicate your method of payment:
Check: Write check for total amount to “White House Fellows Foundation and Association,” and mail to: Joan Klein, 12512-C Lake Ridge Drive, Woodbridge, VA 22192
Credit Card
Credit Card:    
Name on Card: Card Number:
Expiration Date:   Amount Owed: