Holiday Reception - RSVP

Thursday, December 6, 2007 from 5:30pm-7:30pm
The program will begin at 6:00 p.m.

Memorial Student Center
Rooms 224, 225 and 226

Hosted by the International Programs Office

First Name *	Mr. Ms. Dr. Professor
Last Name *
Title
Department
Country of Origin
Family Members Attending	0 1 2 3 4
Family/Guest member's names attending with you
Phone # *
E-mail address *
Transportation Required?	Yes No
Dietary Restrictions (if any)