Wufoo

Employer Recognition Breakfast Reservation

Thursday, April 18, 2008 - 8:30 a.m. to 10:00 a.m.
Westchester Marriott, 670 White Plains Road, Tarrytown, NY 10591
Keynote Speaker: Janet DeFiore, Westchester County District Attorney

First Name *
Last Name *
Business *
Address *
City *
State *
Zip
Telephone * - (###) - ### ####
Email *
YES, I will attend
Number of people attending from my business
YES, I will attend and plan to bring a guest(s) from another company.
Please indicate name and company of each guest
I cannot attend. I cannot attend but request information about your services. I cannot attend but would like a representative of your organization to contact me about hiring people with developmental disabilities.
Additional Information
PLEASE RSVP BY APRIL 11, 2008

If you need assistance with this form, please contact:
Regina Moore
rmoore@westchesterarc.org
(914) 428-8330, ext. 3117

For questions about the event, please contact:
Fran Higgins
fhiggins@westchesterarc.org
(914) 428-8330, ext. 3028
Do Not Fill This Out

Wufoo

Employer Recognition Breakfast Reservation

PLEASE RSVP BY APRIL 11, 2008