Reservation for the Annual Dinner of The Harvard Gay & Lesbian Caucus

Lowell House, Cambridge, MA, on June 10, 2004

Send this form to HGLC Dinner, PO Box 381809, Cambridge, MA 02238 to be received by June 3, 2004.

Include $50 per person, except $25 for full-time student, low income or family of 2004 graduates, and free for 2004 graduates. Add a donation of any amount if you wish to help support dinner for a student or low-income person.
 

Name(s) 

Address(es)

Affiliation (if any)

Cost

Vegetarian?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Amount Enclosed: $___________

Since we have to commit to the number of meals before the event we must ask for advance payment for dinner reservations. The cocktail hour, program and speaker do not require a reservation. You may make reservations and pay for the dinner by clicking on this link:

http://memdir.org/HGLC/members/event.cfm

Log in using your username and password, or ask for them to be mailed to you if you have forgotten them.

You may pay for the dinner either by credit card through our web site or by mailing a check to the address given on the site. We use PayPal.com to assure secure handling of credit card payments. You will have to set up a PayPal account if you don't already have one - this can be done online and is only necessary the first time you use PayPal.