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              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) 
 	      

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  
  
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Dinner Selection:   Tri Tips    Salmon     Eggplant Parmesan

• Santa Maria Broiled Tri Tips with a wild mushroom demi-glaze sauce
• Teriyaki Salmon topped with sliced pineapple and oriental teriyaki sauce
• Eggplant Parmesan served over spaghetti pasta and topped with tomato basil sauce

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