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LELO is a 33 year-old racial and economic justice workers rights 501c3 non-profit organization.

LELO

      Legacy of Equality, Leadership and Organizing

3700 S. Hudson St.  Unit C
 Seattle, WA 98118  [map]
 Metro Bus # 7 or # 48

206.860.1400 206.860.1414   workers@lelo.org

Save the Date

The 2008 Domingo, Viernes, Jefferson Awards Dinner

June 7, 2008

Blaine Memorial United Methodist Church

Register for the 2008 Domingo, Viernes, and Jefferson Awards Dinner

We are delighted that you will be joining us!

Please complete this form and check in at Registration when you arrive at the dinner. A confirmation of your online registration will be emailed to you.

*Entry required

First Name

Last Name *

Organization Affiliation:

Are you representing this organization	Yes No
at the dinner?

Address 1

Address 2 

City    State Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming U.S. Citizen Abroad Zip Code

Phone Number: *    Ext. 

Alternate Phone *    Ext. 

Email:

How many people in your party?
Please choose a dinner option
Vegetarian Mexican Louisiana Gumbo Vegan
Do you require childcare
Yes No
If you do require childcare, how many children will there be?
Do you reguire transportation to and from the dinner?	Yes No
Do you reguire a lanquage or sign interpreter for the dinner?	Yes No

If you require any special accommodations, please specify below:

Enter your special needs here

Would you be willing to donate a dessert?			Yes No
Would you be willing to be a table captain?			Yes No
Ticket Prices: $40.00 per guest.
Full Table $320.00 Scholarship tickets are available. Please call 206 860-1400 for more information. Sliding scale for tickets are available.
On-line ticket reservation deadline is Thursday, May, 29th -  5pm
How would you like to pay for this dinner?
- Check	- Cash	- Credit Card
What is the amount you would like to pay?
If paying by credit card, please call the office at 206 840-1400 with
the credit card information.
Reservations must be completed no later than May 29, 2008

3700 South Hudson Street, Unit C Seattle, WA 98118  //  206.860.1400  //  206.860.1414 Fax //  workers@lelo.org