MEMBERSHIP, CONTRIBUTIONS, & EVENT REGISTRATION

Thank you for registering on-line.
Should you have questions or problems submitting your contribution, membership application or event registration, please contact: Cathy Tracy, Business Manager at (860) 951-6161 ext. 14

Name   
Billing Address   
Town   State   Zip Code  
Telephone   10 digits, no parenthesis, dashes or spaces required.
Credit Card   AMEX - 15 digits/ VISA & MasterCard 16 digits. No spaces required
Expiration
  mmYYYY  V Code  
AMEX - 4 digits on front
VISA & MasterCard - 3 digits on back

By entering your credit card number, you authorize Leadership Greater Hartford to charge your account.

 
EVENT REGISTRATION

Summer Social

Member of the LGH Network  - $30              No. of Tickets 
Guests  - $35
                                                   No. of Tickets  
Graduate of Quest Clas '08  - FREE           
No. of Tickets 
Leadership Circle Member - FREE     
        No. of Tickets 


2008 Polaris Awards - $100 per person             No. of Tickets 

 
MEMBERSHIP:

 
*Golden Membership is reserved for LGH program
graduates over the age of 65 or graduates of the Third Age Initiative. 
DEVELOPMENT FUND

Yes! I would like to help build community leadership in Greater Hartford by supporting the Leadership Greater Hartford Development Fund with a tax-deductible gift of:

   (Other Amount)  $

Please dedicate my gift to support:    

TOTAL AMOUNT  $
(Including membership, event registration and/or contributions)
By submitting your credit card number, you are authorizing
Leadership Greater Hartford to charge your account
.
Comment/Question



LGH updates this page on a regular basis. If you experience difficulty submitting your RSVP and/or
payment online, please  to contact Cathy Tracy, Director of Finance & Operations at (860) 951-6161 ext. 14.

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