Name:
Address:
City:
State:
Zip Code:
Name of Organization/Dept:
Telephone:
Email Address:

YES, we are planning to attend the Community Action Fair on Thursday, September 11, 2008

Sorry, we are unable to attend the fair this year.

YES, we are willing to share a six-foot table with another organization, if necessary.

YES, we will make a presentation to students in the Council Fire Room annex.

YES, we will need parking permits.  Please enter the number of parking permits you will need:
Parking permits will be sent with confirmation letters.

YES, we will need access to the following:
VCR/TV Unit
Electrical Outlet