Counselor Luncheon Reservation Form

Use the secure form below to reserve your spot at our Fall 2012 Counselor Luncheon at

William Paterson University on Friday, September 28, 2012.

* Please RSVP at least one week before the event.

* Each counselor should submit their own web reservation.

* In order for your information to be processed, all items in bold are required.


Should you have any questions, please contact Gina Toriello at 973.720.2126 or by email.


We look forward to seeing you at the Luncheon!

Your Contact Information




School Name 

Business/Work Phone with extension
Cell/Alternate phone
E-mail address (enter only one)
Select Luncheon Date