registration form

Registration Form

 

Blazing New Trails with Purpose and Passion

VPW Spring Conference

Friday and Saturday, April 12-13, 2013

Washington and Lee University

Lexington, Va.

 

Name: ___________________________________

Phone: ___________________________________

Email: ____________________________________

Employer/Job Title: _________________________

 

Are you a VPW Member? _____

 

Are you a new member since January 2013? _____

“Early Bird” by March 27

Register me! (Circle one)

                  $55 Members by March 27 ____

                  $65 Members through April 8 ____

                  $75 Nonmembers through April 8 ____

                  $25 Students through April 8 ____

 

                  $30 Lunch only ____

 

Amount enclosed: $_____________

 

YES, I will take the free tour on my own of Natural Bridge:

                  Friday at noon: ____

                  Saturday at 3 p.m.:  ____

 

By Monday, April 8, Please send registration form and a check payable to Virginia Press Women to:

                  Julie Campbell

                  Washington and Lee University

                  7 Courthouse Square #202

                  204 W. Washington St.

                  Lexington, VA  24450-2116

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