The University of Scranton

The Royden B. Davis, S.J.,
Distinguished Author Award

Reception and Presentation

Personal Information: (* Required Field)
*First Name:
*Last Name:
*Address:
*City:
*State:
Nation:
*Zip:
*Area Code/*Phone:
Alternate Area Code/Phone:
*Email:
I will not attend
I will attend
I cannot attend but would like to make a contribution

Sponsorship
I would like to sponsor the event at the following level:

$500 ($500 Each)
$250 ($250 Each)
$150 ($150 Each)
Please type your name as you would like it to appear on the program:
Reservations
QuantityCost

Student Friends of the Weinberg Memorial Library ($20 Each)

Students ($25 Each)

Friends and Schemel Forum Members ($55 Each)

Attendees ($60 Each)

Guests(s)
Please seat me with:
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