WPSA Dinner and Dance Registation
Friday, March 11, 2022, 6:00 PM at the Hilton Hotel

(Note: An * indicates a required field.)'

* Contact Name:

* Contact E-mail:

Name of Organization:

Address:

City:   State:   Zip:  

Phone:  

Purchase Options
INDIVIDUAL TICKETS $ per ticket
Purchase one ticket for each in your party. 		$ x  = $0
If you are able, please purchase additional tickets that will be given to graduate students. $ x  = $0
We would love to put your name (or the name of your organization/group) on our virtual WPSA wall of fame. Please help wpsa raise money and celebrate at the following levels:
Supporting Member - 8 dinner and dance tickets seated together, recognition on the programs, 1 picture on Gala slide show (not required, only if they volunteer to the publicity), 2 free WPSA t-shirts $
Sustaining Sponsor - 16 dinner and dance tickets seated together at 2 tables, recognition on programs, 2-3 pictures on Gala slide show (not required, only if they volunteer to the publicity), 4 free WPSA t-shirts, 2 minutes of microphone time at Gala $
Leading Sponsor - 16 dinner and dance tickets seated together at 2 tables, recognition on programs, 1-4 pictures on Gala slide show (not required, only if they volunteer to the publicity), 8 free WPSA t-shirts, 5 minutes of microphone time at Gala $
Total : $



If you are experiencing any problems or have questions, please send a message to favilaej@csus.edu.