Virginia’s Linked Workforce Showcase -- Registration Form

2^nd Annual Virginia’s Linked Workforce Showcase
July14, 2004 Tysons Corner
7:00 – 11:30 am

Registration Form for Southwestern Virginia Companies

Please Note: Companies that register are required to send two representatives to this event: the President/CEO or highest ranking person at this location and another person with decision making authority.

Attendee # 1

Name_______________________________________________

Title________________________________________________

Company____________________________________________

Address_____________________________________________

City, State, Zip Code__________________________________

E-mail Address_______________________________________

Attendee # 2

Name_______________________________________________

Title________________________________________________

Company____________________________________________

Address_____________________________________________

City, State, Zip Code__________________________________

E-mail Address_______________________________________

Registration fee is $250. Please make check payable to Virginia Economic Bridge, Inc. & add VLWS in the Memo.

Hotel Reservations: Please make your own hotel reservations by June 28, 2004. Rooms are in the Virginia Linked Workforce Showcase block and will only be held until June 30. Call the Holiday Inn Tysons at 703-893-2100.

Please Mail this Form to:
Virginia Economic Bridge, Inc.
Virginia’s Linked Workforce Showcase
P.O. Box 7035
Radford, VA 24142
Or FAX to 540.831.6397