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* 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.
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
No
Yes
Fort Lewis College Graduation Year
Fort Lewis College Major
Mid-afternoon Snack
No
Yes
Vegetarian?
No
Yes
Second Representative's Name
Second Representative's Title
Second Representative's Email
Second Representative: FLC Alumnus
No
Yes
Second Representative: FLC Graduation Year
Second Representative: FLC Major
Second Representative: Mid-afternoon Snack
No
Yes
Second Representative: Vegetarian?
No
Yes
Electricity $5.00
No
Yes
Tablecloth $5.00
No
Yes
COST: $45 for 2 recruiters, and $15 per recruiter over 2 includes one six foot by three foot table, lunch and snacks. Because of space limitations, we suggest having no more than two people at one time.
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
Check - Make checks payable to Career Services - Fort Lewis College. Please pay within 30 days or prior to the event, whichever is sooner.
Purchase Order - Note PO number below
Credit Card - call 970-247-7562 to give credit card info.
Purchase Order (PO) Number
DEADLINE/CANCELLATIONS: Thursday, Janurary 31, 2008. No refunds will be given after this time.
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
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