Meeting and Workshop Registration Form

January 13/14, 2009 Meeting and Workshop Registration Form

Use this form to register for our Tuesday, January 13, 2009 Meeting and/or the full day Workshop on Wednesday, January 14, 2009. You’ll be able to pick one or both when you see the payment screen.

Your Contact Details

First Name:
Last Name:
Email:         
Phone:       
We need your phone number in case there are problems or changes

Select Meeting and/or Workshop

Please select one or both.

Meeting (Tuesday, January 13, 2009)
Workshop (Wednesday, January 14, 2009 – 9 a.m. to 4 p.m.)

Dinner Choices

If you attend the meeting for dinner, please choose one of these dinner menus:

Meat entree: Chicken Saltimboca — Prosciutto, mozzarella and port mushroom demi served with garlic mashed potatoes and seasonal vegetables
Vegetarian entree: Pasta Ojeda — Penne pasta, diced tomatoes, and green onions tossed in a rose vodka and garlic sauce, topped with parmesan cheese

All entrees include a tossed green salad, warm rolls and butter, coffee (regular and decaf), tea, and chef’s selection of dessert.

Your Membership Status

Please select one. If you are bringing a guest, select only your status.

Member
Student
Non-Member

Payment

Finally, please select how you wish to pay.

Credit Card (through PayPal)
Cash or Check at Meeting and/or Workshop

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