Your First Name:
Your Last Name:
Your Title:
Organization:
Telephone: 
Email Address: 

Engineering Emphasis(es) Required:

Electrical:
Mechanical:
Product Design/Manufacturing:
Computer:


Please Check the top 3 times that best suit you and your organization's schedule:

10/13 (Thursday) AM
10/13 (Thursday) PM
10/14 (Friday) AM
10/17 (Monday) PM
10/18 (Tuesday) PM
10/19 (Wednesday) AM
10/19 (Wednesday) PM
10/20 (Thursday) AM
10/20 (Thursday) PM
10/21 (Friday) AM
10/24 (Monday) PM
10/25 (Tuesday) AM
10/25 (Tuesday) PM
10/26 (Wednesday) AM
10/26 (Wednesday) PM


Are you interested in having lunch with Tom Demmon and an Engineering
faculty member (noon to 1:00 p.m.)? Yes No

If yes, How many attendees?