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October 23, 2014
7:30 - 9:00 am
Siebert Lutheran Dining Hall
CUW campus in Mequon, WI
Mail to:
Concordia University Wisconsin
Attn: Michelle Buss
12800 N. Lake Shore Drive
Mequon, WI 53097
Questions? Contact Michelle Buss
262-243-4337/[email protected]
Please make your check payable
to: CUW Foundation
Credit Card Payment Available on Back
CUW LEADERSHIP SERIES
featuring Jim Kacmarcik
President, Kapco Family of Companies
“The Value of Giving: A Net Worth Statement”
Supporting Sponsor - $1,000

Corporate Sponsor - $200
Individual - $25
How many individuals? ______
Name(s): _______________________________________________________________
(For Sponsors, please include names of all attendees on separate sheet or send by email.)
Company: _______________________________________________________________
Address: ________________________________________________________________
City/State/Zip: ___________________________________________________________
Telephone: ______________________ E-mail: _________________________________
I want to charge to my:
 MasterCard
 VISA
 Discover Card
Credit Card No. _________________________________
Signature
Amount $_________________
Exp. Date _______ - ________
Month
Year
Zip Code __________
Date
“Concordia UniversityWisconsin is a Lutheran higher education community committed to helping students develop in mind,
body, and spirit for service to Christ in the Church and the world.”