UNITED WAY OF GREATER LAFAYETTE
1114 STATE STREET :: LAFAYETTE, IN 47905
PHONE (765) 742-9077 :: FAX (765) 742-9079
Copyright © 2007. All rights reserved.
Organization
Please indicate which event and date:
Please Note: A registration form must be filled out for each attendee and event
Prefer vegetarian meal
Please indicate if you would like to be added to our email list serve
Emergency Phone (Home or Cell) in case of cancellation:
INVOICE INFORMATION:
Please send check to: INRN - 1114 State Street, Lafayette IN 47905
Make checks payable to INRN.
