Eastern Michigan University

EMU Social Work Alumni Chapter:

2nd Annual Continuing Education Event

February 1, 2013, Luncheon 12:00 PM, Conference 1:00 PM to 5:00 PM

Eastern Michigan University Student Center, 900 Oakwood, Ypsilanti, MI

 

Registration Information

  • Your conference registration will be confirmed by e-mail
  • Questions about the program: Rae Anne Yuskowatz, 734.487.8040
  • Questions about your registration: Karen Metz, kmetz@emich.edu

Participant Information:

First Name Last Name

Email

Company/Organization

EMU Graduation Year

Address

City   State   Zip

Phone Cell Fax

E-Mail

Please let us know if you need special assistance.

If you would like to support the EMU Social Work Alumni Chapter 2nd Annual Continuing Education Event, please select a sponsorship level:

$500 Gold Sponsor (Includes two tickets to the Education Event and "Italian Fare" lunch starting at 12 noon.

$250 Silver Sponsor (Includes two tickets to the Education Event and "Italian Fare" lunch starting at 12 noon.

$100 Bronze Sponsor (Includes one ticket to the Education Event on and "Italian Fare" lunch starting at 12 noon.

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

Yes! I want to attend!

Yes, I want to receive continued education units (CEUs) for attending

$35 Individual Ticket with "Italian Fare" lunch (Food iwll be served at noon, one hour before the event.

$15 General Admission (without lunch)

*Italian Fare: Served with baked spaghetti and penne carbonara, Italian cut green beans or roasted vegetable ratatoullie, Caesar salad and garlic bread

Sorry, I can't attend. Please accept my donation of:

Please make my gift anonymous.

Note: All Sponsors include a listing of their names at the various sponsorship levels in the program. Gifts to the Eastern Michigan University Foundation are tax-deductible to the extent allowed by law.

If you have any questions, please contact Rae Anne Yuskowatz at (734) 487-8040

Credit Card Information:
If you're using another form of payment, please contact Karen Metz, kmetz@emich.edu

First Name  Last Name  

Email Address  Telephone

Address

City
  State   Zip

Credit Card: MasterCard VISA  American Express 

Credit Card Number

Exp. Date Security Code (on back of card)

If you have any questions, please contact Rae Anne Yuskowatz at (734) 487-8040