Volunteer Center of the Lehigh Valley - Breakfast for Champions Registration

To recognize volunteers - America's strength

Breakfast Buffet 8:00 AM; Program 8:30-9:30 AM;

Wood Dining Room, Iacocca Hall, Lehigh University

Registration Deadline

March 19, 2008

Fee: $32 for volunteer Center Member Agencies

$40 for non-member agencies

Fee includes two adult volunteers and one agency representative

One youth volunteer may attend free of charge

$15 each additional attendee

*Required fields

*Contact Name:
*Agency Name:
*Address:
*City, State, Zip:
*Contact Phone Number:
Contact Fax Number:
*Contact Email:
*Volunteer Center Member Agency?:

Please list Attendee Names

(Seating is limited No Confirmation will be sent.

Call the Volunteer Center if you need to change attendee later,

MUST be changed BEFORE March 19th to be included in The Morning Call full page ad.)

1.(Volunteer)
2.(Volunteer)
3.(Agency Rep)
4.(Youth-optional)
5.(Additional $15 pp) .Please say if Volunteer or Agency Rep, etc

Please mail your payment As Soon As Possible.

Registrations MUST be received BY THE March 19th DEADLINE.

Sorry, No Credit Cards Accepted.

If you wish, Print this page for your own records, Before hitting Submit