Registration Information Form for Checks

Reception with Yale University President Richard Levin
March 23, 2010

Please print, complete, and send this form with your check.

Make check payable to: Yale Club of Silicon Valley

Mail to: Yale Club of Silicon Valley
PO Box 757
Palo Alto CA 94302-0757

Ticket	Number	Price	$ Total
Yale Alum and Guests		$45.00
Young Alum and Guests Classes 2005 - 2009		$35.00
Sponsors (Alums and Guests)		$100.00
Total Check		----

Name____________________________________________________________

Address __________________________________________________________

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Yale Class & College or School ___________________________________________

Email ____________________________________Phone____________________

Names of Guests ____________________________________________________

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