---------- Print this page and mail with your check ----------
AMC CT Chapter
Annual
Gathering Reservation Form
Saturday, November 15, 2008
| Dinner and Evening Program | |
| AMC Members | $40.00 |
| Non-Members | $45.00 |
| Workshops Only | $10.00 |
|
Dinner Choices |
|
| Vegetable Lasagna | Served with Vegetable Medley and Garlic Mashed Potatoes |
| Sliced Stuffed Chicken Breast | |
| Baked Scrod | |
| First and Last Name | AMC Member # | Meal Choice | Amount Enclosed | |
| 1. | ||||
| 2. | ||||
| 3. | ||||
| Total payable to "AMC CT CHAPTER" | ||||
No confirmation is sent. Pick up your name badge at the Registration Table. This is your admission and dinner ticket.
| Dinner Price Includes Evening Program | Mail this form with your check to: | |
Your Phone #______________________________ Your Email Address_________________________ |
Lori Stethers 15 Banbury Rd West Simsbury, CT 06092 |
|