S.T.E.M. Registration Form - Pay by check

Organization Name*

Organization Type*

Profit Non-Profit / Government

Basic Registration Fee $

Business Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Business Phone Number*

This number will be called only if we have important questions regarding your registration and if a more direct number is not provided below.

Name of Primary Representative Who Will Be Attending*

First Name

Last Name

Email Address*

This address will be used for all correspondence relating to the event.

Direct Office Phone Number, if different from above*

Is this person an alum of Walla Walla University?*

Yes No

Grad Year*

Major*

Please provide the total number of representatives that will be attending*

Price reflected is per guest. The quantity selected will be how many meals are prepared for your organization.

$ 10.00

Quantity:

Additional Representative #1*

First Name

Last Name

Is this person an alum of Walla Walla University?*

Yes No

Grad Year *

Major*

Additional Representative #2*

First Name

Last Name

Is this person an alum of Walla Walla University? *

Yes No

Grad Year *

Major*

Will the Representative(s) Be Bringing Job Descriptions?*

Yes No

Please Select the Top 3 Major Field Areas You Are Hoping to Connect With*

Will you need access to electricity at your table for the event?*

Yes No

Total Due $

Please send your payment to:
Walla Walla University
Attn. Cashier's Office
204 S. College Avenue
College Place, WA  99324

Checks can be made payable to Walla Walla University, and mark them S.T.E.M. Fair.