SHINE Table Guest Pre-Registration

Don't miss out on the details! Completing this form will allow us to communicate directly with you about parking, attire, program and any last-minute changes that may come up.

Note: By submitting this form, you consent to receive digital and/or print communications from Donnelly College.

Guest Name Guest Name First Last
Table Host
Title and Organization

E.g.: Marketing Manager, Donnelly College
Email
Phone Number Phone Number - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country