HOME
EXHIBITOR RESOURCES
- EXHIBITOR INFORMATION
- EXHIBITOR REGISTRATION
Travel & Accommodations

HOME
EXHIBITOR RESOURCES
- EXHIBITOR INFORMATION
- EXHIBITOR REGISTRATION
Travel & Accommodations

REGISTER

Main

Wills Eye Alumni Society

BLACK TIE DINNER DANCE

BALLROOM AT THE BEN

SATURDAY, APRIL 17, 2027

6 PM TO 11 PM

834 Chestnut Street • Philadelphia, PA 19107
(entrance on 9th Street)

This event is for Wills Eye Alumni Society Members and Invited Guests.

(Complimentary self-parking across from the venue entrance on Ninth Street.)

Questions? Contact Susan Umfer, sumfer@willseye.org)

Please enable JavaScript in your browser to complete this form.

Please Select your Ticket Type *

Per Person - $225.00
Per Couple - $450.00
Wills Resident/Fellow who graduated within past 3 years (per person) - $112.50
Wills Resident/Fellow who graduated within last 3 years (per couple) - $225.00
Current Wills Fellow (per person) - $112.50
Current Wills Fellow (per couple) - $225.00
Current Wills Resident/TJU PGY1 (per person) - $0.00
Current Wills Resident/TJU PGY1 (per couple) - $0.00

Class Year *

2027
2028
2029
PGY1

Total

$0.00

I will pay by:

Check
Credit Card

Contact Information

Mail check, payable to "Wills Eye Alumni Society"

Wills Eye Alumni Society
840 Walnut Street, 8th Floor
Philadelphia, PA 19107

Square *

Card

Name on Card

Primary Contact Person *

Email *

Phone

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Name – Guest #1 *

Menu Selection – Guest #1 *

Beef
Fish
Vegetarian

Please specify any dietary restrictions

Name – Guest / #2

Menu Selection – Guest #2

Beef
Fish
Vegetarian

Privacy Policy
Terms and Conditions

Facebook
X
RSS

Designed by Elegant Themes | Powered by WordPress