|
ILLINOIS CLASSICAL CONFERENCE 2006 Annual Meeting Springfield, Illinois
Registration Form
Name _______________________________________________________________
School or business _____________________________________________________
Mailing Address _______________________________________________________ (Street)
_________________________________________________________ (City) (State) (Zip)
Telephone (Home) ____________________________ (Work) ____________________
Email address ___________________________________________________________
PAYMENTS Amount
Registration Fee ($50. per person) .. ..________
New Member Registration($25. per person) .________
Student Registration($25. per person) ... . ..________
Saturday buffet luncheon ($18.50. per person) ________
Saturday banquet .. .________ ( )Chicken ($31.per person) ( )Pasta Provencal, vegetarian ($31. per person) ( ) Beef ($38.per person) ( ) Salmon ($34. per person)
Sunday buffet lunch ($18. per person) .. .________
Sunday visit to Lincoln Museum at 2:15 P.M. ($5.50.per person) . ..________
TOTAL ENCLOSED (Please make check or money order payable to Illinois Classical Conference.) ________
N.B. Registration forms and payments should be sent by 23 September 2006 to:
Mrs. Jay F. Mulberry 5542 South Blackstone Avenue Chicago, IL 60637-1854. |