Wisconsin Council of the Blind
& Visually Impaired

2008 Philanthropy Day Seminar & Luncheon

Aging and Vision Loss:
Finding Powerful Tools for Independence

Friday, May 16, 2008 - Northwoods Supper Club, Fifield, WI 8:30 a.m. - 1:30 p.m.

T O REGISTER BY PHONE, PLEASE CALL 1-800-783-5213

T O REGISTER BY MAIL PLEASE DOWNLOAD THE REGISTRATION FORM HERE

Please enter in the name of each person attending along with their meal choice. You may use the link below the food choices to immediately jubp to the "Continue Registration" button. You may register up to six people at a time.

Registrant #1
First Name:
Last Name :
Address		Beef Lunch	Slow Cooked Beef Bites with Mushrooms, Pearl Onions and Gravy over Rice
City		Veggie Lunch	Vegetarian Selection - Veggie Stir Fry with Rice
State		Click Here to go to the "Continue Registration" button
Zip Code
Phone
County
E-mail
Registrant #2
First Name:
Last Name :
Address		Beef Lunch	Slow Cooked Beef Bites with Mushrooms, Pearl Onions and Gravy over Rice
City		Veggie Lunch	Vegetarian Selection - Veggie Stir Fry with Rice
State		Click Here to go to the "Continue Registration" button
Zip Code
Phone
County
E-mail
Registrant #3
First Name:
Last Name :
Address		Beef Lunch	Slow Cooked Beef Bites with Mushrooms, Pearl Onions and Gravy over Rice
City		Veggie Lunch	Vegetarian Selection - Veggie Stir Fry with Rice
State		Click Here to go to the "Continue Registration" button
Zip Code
Phone
County
E-mail
Registrant #4
First Name:
Last Name :
Address		Beef Lunch	Slow Cooked Beef Bites with Mushrooms, Pearl Onions and Gravy over Rice
City		Veggie Lunch	Vegetarian Selection - Veggie Stir Fry with Rice
State		Click Here to go to the "Continue Registration" button
Zip Code
Phone
County
E-mail
Registrant #5
First Name:
Last Name :
Address		Beef Lunch	Slow Cooked Beef Bites with Mushrooms, Pearl Onions and Gravy over Rice
City		Veggie Lunch	Vegetarian Selection - Veggie Stir Fry with Rice
State		Click Here to go to the "Continue Registration" button
Zip Code
Phone
County
E-mail
Registrant #6
First Name:
Last Name :
Address		Beef Lunch	Slow Cooked Beef Bites with Mushrooms, Pearl Onions and Gravy over Rice
City		Veggie Lunch	Vegetarian Selection - Veggie Stir Fry with Rice
State		Click Here to go to the "Continue Registration" button
Zip Code
Phone
County
E-mail

Thank you!