All registration forms and payments
must be received by
December 15, 2017

 

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.
 
A reservation is made when payment is received.





 


 


Please select your desired sponsorship level:


Includes reserved table for ten, special recognition at event and in program.


Includes ten reservations, recognition at event and in program.


Includes 5 reservations, recognition at event and in program.


Includes 2 reservations, recognition at event and in program.

 

     

All registration forms and payments
must be received by
December 15, 2017

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: WomenLegislatorsMD@comcast.net

Phone: 443-994-0842