Referral for Dinner with Funders - October 8
(Separate Registration & Fee per attendee)
Identify Key Regional Leaders/agencies who should attend the Invitation Only “Dinner with the
Funders.” Limited to 125
attendees representing: Presidents/Board Chairs/EDs of regional agencies: Hospitals, Universities, Museums, EDCs, plus
Same
person as above: Check here______ If not, please complete information
below.
Name____________________________Title_________________________________
Agency_______________________________________________________________
Address__________________________City____________State_____Zip__________
Phone________________Fax__________________Email______________________
Send
referrals with registration or email to: circleof10@circleof10.org
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