NATIONAL CONSTITUTION CENTER

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

(Complimentary self-parking at National Constitution Center Garage. Entrance from Race Street between 5th Street and Sixth Street.)

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

Please enable JavaScript in your browser to complete this form.

Please Select your Ticket Type *

Class Year *

Total

$0.00

I will pay by:

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

Square *

Credit Card field is disabled, Square account connection is invalid. Please, contact to the site administrator.

Primary Contact Person *

Email *

Phone

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Name – Guest #1 *

Menu Selection – Guest #1 *

Please specify any dietary restrictions

Name – Guest / #2

Menu Selection – Guest #2