Meeting Reservation Form July 18, 2019

Meeting Reservation Form

Title

Member or Guest *

Member

Guest

If Guest, Guest of

First Name *

Middle Initial

Last Name *

Certification

Organization

Daytime Phone Number

E-mail *

Entree Preference (if offered)

Member Meal Fee

$0.00 - I plan to attend the meeting, but I do not plan to eat

$0.00 - no additional charge for members who have elected an all-inclusive membership option

$15.00 - STUDENT Membership

$15.00 - Lunch Meeting

$20.00 - Dinner Meeting

Guest Fee

(limited to two meetings per 12 months)

Meal Fee Payment Options

Date *

July 18, 2019

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