Professional Networking Dinner Registration

[*denotes required fields.]

Company Information:

Company:*
Address:*


Company Contact:*
	Phone:	()
	E-mail:

Representative Information:

# Representatives Attending:*
Representative #1:*
	Title:
	E-mail:
Representative #2:
	Title:
	E-mail:
Representative #3:
	Title:
	E-mail:
Representative #4:
	Title:
	E-mail:
Representative #5:
	Title:
	E-mail:

Please note that each company is limited to a max of 5 representatives. If you will be sending less than 5 representatives, please specify N/A in the name, title, and email fields above. If the representatives attending have not yet been decided, please specify TBD in the name, title, and email fields.

Additional Company Information:

At the dinner, programs will be available with information on attending companies. Please provide the following (please limit to 150 words total):

Brief Company Description:
Brief Description of Jobs Hiring

Each company will be provided with an electronic file of resumes of current undergraduate and graduate Cornell SWE members.

You may also purchase an advertisement in the program. Half pages (5”x4”) cost $20 and full pages (5”x8”) cost $30. Advertisements are in black-and-white. Your registration confirmation email will provide information on how to submit your advertisement and/or graphics.

First company representative:	$150
Number of additional representatives:	x $125 = $
Advertisement Size:
Total Payment:*	$

Please make checks payable to Cornell SWE and mail to:
Cornell SWE
ATTN: Professional Networking Dinner
162 Olin Hall
Ithaca, NY 14853