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 50% discount on the dinner cost. Note: Professor must arrange reservation for student to qualify) Member status: Chicago Section 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.) Of what local section are you a member? Is this the first Chicago Section local meeting you've ever attended? no yes Meeting Information: Day of meeting: Please register at a later date for any future meeting ------------------------------------------------------------------------------- Dinner Selection: Chicken Florentine Salmon Vegetables Wellington
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