Eastern Michigan University


Friday, September 28, 2012

Eastern Michigan University Student Center
900 Oakwood St., Ypislanti MI

Alumni, Community Member and Sponsor Registration

Day of Event (Timeline)

  • Networking: 4-6:00 p.m., 310AB Student Center
  • Dinner Reception: 6-8:00 p.m., Grand Ballroom (registration required for dinner)

Participant Information:

First Name Last Name

Company/Organization

Street Address City State Zip

Telephone Fax

Email (registration confirmation will be sent here)

Sponsors: If you would like to support the event, please select a sponsorship level

$10,000 Presenting Sponsor - Benefits include: premier print recognition throughout the event; a college newsletter article; recognition as a breakout session underwriter and opportunity to host the session; a booth for networking event; and a table of 10 tickets to dinner reception.

$2,500 Event Sponsor - Benefits include: corporate logo in event program; name listed as event sponsor in dinner announcements; recognition as a breakout session underwriter and opportunity to host session; a booth at the networking event; and a table of 10 tickets to dinner reception.

$250 Booth Sponsorship - Benefits include: booth at networking event and 2 tickets to dinner reception.

Dinner Registration: If you would like to attend, please select from the options below

$400: Table of ten

$45: Individual ticket

$25: EMU New Grad (Class of 2012) ticket

No, I am not able to attend the dinner reception, but would like to make a donation* of $

*Gifts to the Eastern Michigan University Foundation are tax-deductible to the extent allowed by law.

Payment Options: Visa, MasterCard, Discover, American Express, Check or Money Order (made payable to EMU Foundation.) If you wish to pay in person, fill out this registration form and drop it off with payment at the Academic Advising and Student Center in the Marshall Building. Direct all questions to Rae Ann Yuskowatz at rcinder@emich.edu or 734.487.8040.

Credit Card Payment

Name (exactly as it appears on card)  

Credit Card: MasterCard VISA  Discover  AMEX 

Credit Card Number

Exp. Date

Three-digit Security Code (back of card) or 4 digit code on front of AMEX: