PRINT, FILL OUT AND MAIL ALONG WITH A CHECK TO: 

Larry Schwab (USMLMA Treasurer)

1810 West Stella Lane

Phoenix AZ 85015

FOR YOUR PROTECTION, EMAIL US AT reunion@usmlm.org and tell us the check is in the mail.

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NAME:  ___________________________________________

NUMBER ATTENDING:   _____________________________

STAYING AT HOLIDAY INN HOTEL:  YES   NO

[YOU MUST MAKE YOUR OWN HOTEL RESERVATIONS]

ATTENDING

   ____1. Friday night ‘Mixer’ in the Hospitality Room

   ____2. Hospitality Room (open all day Saturday with free alcoholic and non-alcoholic beverages, plus nibblies);

   ____3. Saturday evening gala banquet

BANQUET MENU SELECTION:  (INDICATE NUMBER OF MEALS)

____1. Beef Sirloin with mashed potatoes, gravy, and veggies;

____2. Grilled Salmon Fillet with assorted vegetables, lemon butter sauce, and rice or potato;

____3. Blackened Chicken Alfredo with mushrooms, tomatoes, onions in a creamy Alfredo sauce, and bow tie pasta, with garlic bread on the side.

COST:  $50.00 per person for USMLM Association members in good standing and their spouse/significant other.

$65.00 for former USMLM personnel not currently members of the USMLM Association, which includes the $15.00 annual USMLM Association dues. They will be signed up at the time of registration. The reunion cost for their spouses/significant others is $50.00.

AMOUNT ENCLOSED:  _________________________________

WOULD YOU LIKE AN EMAIL CONFIRMATION RECEIPT?

PROVIDE EMAIL ADDRESS:  _____________________________________

Version:  AS OF 12 March 2007.  Check http://www.usmlm.org/home/reunion/2007/reunion2007.htm for up to date information.

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