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Alumni Affairs and Development

124 Ives Hall, 607-254-7250

Groat-Alpern Registration 2009

Thursday, March 26, 2009
The Pierre Hotel, 5th Ave. and 61st Street
Buffet Reception and Dinner: 5 P.M. - 9 P.M. Awards Ceremony: 7:15 P.M. sharp

See additional information on the 2009 Groat/Alpern Celebration.

Use this form to register for the Groat-Alpern event, and/or to sponsor or donate tables or seats.

Attendee / Donor Information

* First name:

* Last name:

Class:
(for Cornell graduates)

Name for name tag:
Include class year if desired

Organization:

* Street address:

* City:

* State:

* Zip code:

* Telephone:
(with area code)

* Email:

Guest name:

Guest class:
(for Cornell graduates)

Seat Reservations

Early registration fees before 9:00 AM Thursday, March 4, 2010:

Special recent alumni pricing for graduates from 1999-2008: $50. Please provide your graduating class above to qualify, and select recent alumni seat reservations below.
All other attendees: $200

Registration fees for all attendees after the early registration deadline:

From 9:00 AM Thursday, March 4, 2010 to 5:00 PM Friday, March 19, 2010: $250
After 5:00 PM Friday, March 19, 2010: $400

Registration closes at 5:00 PM Wednesday, March 24, 2010

Regular seat
reservations: seat(s) at $200 per event attendee

Recent alumni
seat reservations: seat(s) at $50 per event attendee

Sponsorships and Donations

Sponsorships and donations facilitate attendance by faculty and students. Sponsors and donors are recognized in the Program.

For information on additional special event sponsorship opportunities and other donation options, contact Janice at (607) 255-6511.

Table sponsorships: table(s) at $5000 each (8 seats for sponsor)

Table donations: table(s) at $5000 each (all seats donated)

Seat donations: seat(s) at $200 each

Payment Information

Please select a payment method.

* Payment method:

* Credit card number:

* Expiration date (mo/yr): /

Billing name and address:

Use name and address above

* First name:

* Last name:

* Street address:

* City:

* State:

* Zip code:

Please make your check payable to "ILR Cornell" and mail to:

ILR Alumni Affairs Office
121 Ives Hall
Cornell University
Ithaca, NY 14853-3901

If you have any trouble using this form, you can fax your information to (607) 254-2251.

ILR School, 309 Ives Hall, Cornell University, Ithaca, NY 14853