Dec 9, 2015 - Method of payment: â¡ My check for $95 is enclosed (payable to DVRPC). â¡ Credit Card ... or pay online
DVRPC
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Anniv Anniversary niversary C l Celebration Our Region, My Home Wednesday, December 9, 2015 Hilton Philadelphia at Penn’s Landing
Send form and payment to: Alison Hastings c/o DVRPC 50th Anniversary Dinner 190 N. Independence Mall West, 8th Fl. Philadelphia, PA 19106-1520 fax: 215-592-9125
Please join us for DVRPC’s 50th Anniversary Celebration! Registration Form Name: ______________________________________________________________________ Title: ______________________________________________________________________
Questions/Concerns? Contact: Alison Hastings Manager, Office of Communications and Engagement
[email protected] 215-238-2929
Affiliation: _______________________________________________________________ Address: __________________________________________________________________ Address (2): _______________________________________________________________ City/State/Zip: ___________________________________________________________ Phone: ___________________________ Email: _________________________________
Method of payment: My check for $95 is enclosed (payable to DVRPC).
All registrations must be received by December 1, 2015.
Credit Card Name on card:________________________________________________ Card number:_________________________________________________ Expiration date: ______________________________________________ or pay online at: http://dvrpc.ticketleap.com/50th/
