February 27, 2012 Luncheon Registration Form

attendee name: *       email: *
  firm:             phone:  
  additional guest(s)          
  firm:          
   
  Members, Activity Subscribers & Public Employees - $30 
   Guests and Non - Members without CEU Credit - $40
   Guests and Non - Members with CEU Credit - $50
 table of 10 - $300 
    vegetarian meal   
notes, special requests: 
 

Reservations not cancelled by noon Friday, February 24 are subject to payment

* - required fields