Industrial Advisory Board Registration for the Graduating Student Banquet

Banquet Held On Friday, May 9th 2008
at Westford Regency (Route 110)
Westford, MA
from 6:00 pm to 10:00 pm

This RSVP is for Industrial Advisory Board Members. Other Companies wishing to attend may also use this form.  Students should not use this form contact Betti Fortin at 978-934-2567 or by email.

* = Required

* First Name * Last Name

* Company

* Phone Number

Email Address

* Alumnus? Yes No (If Yes, what year? )

Number of Tables for Corporate Sponsor at $400.00 per Table (8 People/Table)

OR

Number of Guest Including Yourself at $50.00 per Person

Names of Guest

* Engineering Department Association
Chemical Engineering Mechanical Engineering
Civil & Environmental Engineering Plastics Engineering
Electrical & Computer Engineering Other

Payment can be made in person at the College of Engineering (Kitson 311) or sent to:

Betti Fortin
One University Avenue
Lowell, MA 01854

Make checks payable to UMass Lowell