Spring 2010 Banquet and Awards Dinner Registration

Thanks for your interest in the Spring Dinner. The particulars:

First Name
Last Name
Title
Company
Address
City
ZIP
E-mail
Phone xxx.xxx.xxxx

Registration
Type Name Amount
A&WMA Member $55
Spouse or guest   $35
Cancellation Policy - Full refund if cancelled by April 16, 2010.  No refunds after April 16, 2010.
Add East Michigan Chapter Dues (if not
a member of A&WMA)
Membership Information: East Michigan
Chapter of A&WMA  		 $30

Optional Payment (special cases only)
Payment
    To:  East Michigan Chapter of A&WMA
           PO Box 480435
           New Haven, Michigan 48048-0435  
    Check Memo: Spring 2010 Conf - Name
 -- OR --
  
   
       
Credit Card or Direct Withdrawal
Receipt of your payment confirms your registration.
(You will get a confirmation e-mail of this registration and you may be sent additional information before the event.)

Go to the East Michigan Chapter of A&WMA main page.