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White House Fellows Foundation and Association Annual Meeting 2008
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, 2008
Price
Party
Subtotal
Full 3 Day Package, to include Saturday’s Behind the Scenes at the Newseum
Thursday only
Friday only
Active Members (dues paying) and Guest Registration (non-Early Bird):
Price
Party
Subtotal
Full 3 Day Package to include Saturday’s Behind the Scenes at the Newseum
Thursday only
Friday only
Inactive Members (non-dues paying) and Guest Registration:
Price
Party
Subtotal
Full 3 Day to include Saturday’s Behind the Scenes at the Newseum
Thursday only
Friday only
If not attending the full meeting program, please check the special events you will attend:
Price
Party
Subtotal
Luncheon with Supreme Court Justice Antonin Scalia on Thursday, Oct 23
Reception Honoring the Class of 2008-09 White House Fellows, Thursday evening, October 23: (Cocktail Buffet)
Commissioners’ Luncheon with Myrna Blyth, Chair of the President’s Commission on White House Fellowships: Friday noon, October 24
2008 Legacy of Leadership/Jack Valenti Tribute Reception and Dinner at the Capital Hilton Hotel, Friday evening, October 24
Behind the Scenes Tour of The Newseum and lunch at The Source by Wolfgang Puck.
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:
AMEX
VISA
MasterCard
Name on Card:
Card Number:
Expiration Date:
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08
09
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12
2008
2009
2010
2011
2012
2013
Amount Owed: