List your full name as you would like it on your name badge

 	     First Name: 
              Last Name: 

 	        Company: 

	          Phone: 

  	         E-mail: 
  

           Work status:  Normal    Student   Unemployed   Retired
                      
    (Students,  retirees, and unemployed qualify for a discount on the dinner cost.
       Note:  Professor must arrange reservation for student to qualify) 
 
	       Member status: Member   Guest of Member  Non-member
        (The posted registration fee includes a $2 discount each for Section members
         and one guest.  The cost will be $2 more for non-members.) 

Is this the first Chicago Section local meeting you've ever attended?   no   yes
 

Meeting Information:
  
        Date of meeting:             
        Please register at a later date for any future meeting  
  
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    Dinner Selection:    Beef      Salmon     Vegetarian Pasta

• Beef Brochette - (skewered beef tenderloin filet marinated in delicious house marinade and grilled with an array of vegetables)
• Salmon - (broiled salmon on a bed of spinach with Sonoma curtier Russian River sauce)
• Vegetarian Pasta - with mixed vegetables; olive oil and garlic sauce

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Please note:  We have to make a commitment to the restaurant and order a meal for every reservation we receive.  If you make a reservation to attend a meeting and then do not show up without previously notifying us, we are still responsible to pay the restaurant for your meal.  To help our Section to defray this cost, you will be billed for the cost of the meal.  So please, if your plans change and you can not attend a meeting for which you have registered, let us know ASAP that you won't be attending.  Thank you.

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For questions or comments, please contact the webmaster at:   milt@chicagoacs.org