Electronic Registration Form for:
11th Annual Wirth Chair Awards Luncheon

Tuesday April 8, 2008
12:00pm - 2:00pm
The Hyatt Regency, Colorado Convention Center
650 15th Street, Denver CO (Map & Directions)
Centennial Ballroom
PRICE:
  • $50 / person
  • $35 / person for current CU Faculty, Staff, and Students
  • $500 / table of ten
    (Please, do NOT register online if you are purchasing a table.
    Download this TABLE RESERVATION FORM and fax or mail in    ).
    • Please complete registration by 5pm April 3, 2008:
    REGISTRATION EXTENDED TO FRIDAY APRIL 4, 2008 (4pm)!
    First Name:
    Last Name:
    Title:
    Company/Organization:
    Phone:
    Fax:
    E-Mail:
     
    Street:
    Suite:
    City - State: -
    Zip Code:
     
    Current CU Affiliation:
    Current CU Campus:
     
    Meal Selection:Chicken     Vegetarian
    Please, list any special dietary needs if any:
     
    Method of Payment:Credit Card (by Fax or Mail ONLY-download and complete the CREDIT CARD FORM here.)
    Check (please mail your check and a copy of this registration page to the address below by April 1)
    Pay at Door (Cash or Check only)


    University of Colorado Denver
    School of Public Affairs, Wirth Chair
    Campus Box 133
    PO Box 173364
    Denver, CO 80217-3364

    Phone: 303-315-2070
    Fax: 303-315-2497
    wirthchair@cudenver.edu