Career Day Registration

* Required fields are bold and have a red star next to them.

CONTACT INFORMATION Please list the name and information of the person who is coordinating the event at your organization. All information, including the parking permit will be sent to the main contact.
Company Name
Contact's Name
Contact's Title
Contact's Email
Address
Street, City, Zip
Phone
Fax
Website Address (if you provide an address we will post a link on our website)
REPRESENTATIVE(S) INFORMATION: Please list the name and title of each person attending including lunch preferences.
First Representative's Name
Check here and skip the next two boxes.
First Representative's Title
First Representative's Email
Fort Lewis College Alumnus
Fort Lewis College Graduation Year
Fort Lewis College Major
Need a Boxed Lunch
Vegetarian?

Second Representative's Name
Second Representative's Title
Second Representative's Email
Second Representative: FLC Alumnus
Second Representative: FLC Graduation Year
Second Representative: FLC Major
Second Representative: Need a Boxed Lunch
Second Representative: Vegetarian?

Electricity $5.00
Tablecloth $5.00
COST: $45 for 2 recruiters - includes one six foot by three foot table and lunch. Because of space limitations, we suggest having no more than two people at one time. There is a $20 fee for each recruiter over 2 who eat lunch.
How did you hear about Fort Lewis College's Career Day? (Email, Internet, Referral, etc)
You will receive a confirmation when payment has been received and processed satisfactorily. At that time a table will be reserved for your organization.
PAYMENT OPTIONS
Purchase Order (PO) Number
DEADLINE/CANCELLATIONS: Wednesday, September 24, 2008. No refunds will be given after this time. If you still need to register after this date contact career services at 970-247-7562. You are not officially registered until payment has been received.
LOGO: We request your logo for promotional purposes. Please send your logo to careerservices@fortlewis.edu.
MAIL PAYMENT TO (if paying by check): Career Services, Fort Lewis College, 1000 Rim Drive, Durango, CO 81301
Please list positions for which you are recruiting if known
FORT LEWIS COLLEGE      1000 RIM DRIVE DURANGO, COLORADO 81301      (877)FLC-COLO(TOLL FREE)      ADMISSION@FORTLEWIS.EDU