Form - Martin Luther King Jr. Dinner

Date: Thursday, February 9th, 2012
Time: 7:00 PM - 11:00 PM
Location: DAC Ballroom 416, Queens Campus

Personal Information

Prefix:

First Name:

Last Name:

E-mail:

Phone:

Department:

Your role (student, faculty, employee, community member?):

Number of students you are bringing to this event:

Number of other guests you are bringing to this event:

Event Selection

I will attend:

Martin Luther King Jr. Dinner