Information to come, on our next fundraiser!

REGISTRATION FORM

There are two ways to register for this event:

OPTION ONE:
Payment via written check

1. FULLY COMPLETE THIS FORM.
2. Once complete, click PRINT FORM to print out a hardcopy for mailing
3. Make checks payable to, and mail completed form to:
      Women Legislators of Maryland Foundation, Inc.
      P.O. Box 1587,
      Annapolis, MD 21404-1587
4. Click SUBMIT. This will notify us of your registration.

OPTION TWO:
Payment online using your credit card

1. FULLY COMPLETE THIS FORM.
2. Click PAY WITH CREDIT CARD.
3. Follow online credit card payment procedure.

Registration forms and payments must be received
no later than December 19, 2009.

A reservation is made when payment is received.

Name of Company, Organization, or Individual:

Mailing Address:

Name of Contact Person:

Please select your desired sponsorship level:

$5,000 - PLATINUM Sponsors
Includes two reserved tables of ten, recognition at event and in program.
Please list the names of your 20 guests here.

$2,500 - GOLD Sponsors
Includes one reserved table of ten, recognition at event and in program.
Please list the names of your 10 guests here.

$1,250 - SILVER Sponsors
Includes 5 reservations, recognition at event and in program.
Please list the names of your 5 guests here.

$500 - BRONZE Sponsors
Includes 2 reservations, recognition at event and in program.
Please list the names of your 2 guests here.

$100 - INDIVIDUAL Reservation

All registration forms and payments must be received by December 19, 2009!

All checks should be made payable to:
Women Legislators of Maryland Foundation, Inc.
P.O. Box 1587
Annapolis, MD 21404-1587

For additional information:
Email: info@WomenLegislatorsMD.org

Phone: 410-693-1508