Fifteenth Annual Meeting
Catholic University of America, Washington, D.C.

Friday and Saturday, March 24 –25, 2017

Download as .pdf file.  

The downloaded registration form is an editable pdf file, which you can fill out on your computer, print, and then send to the MTSMA treasurer with payment.

MTSMA REGISTRATION FORM  2017

 

Name(s) 1________________________________ 2___________________________________

Institution(s) 1_____________________________ 2___________________________________

E-mail Address(es) 1_________________________    2_________________________________

Mailing Address(es) 
1____________________________________________________________________________

2____________________________________________________________________________

Banquet, Friday, March 24, 7:00 p.m. ($40 per person)
Gordon Biersch
900 F St NW, Washington, DC 20004

  How many?   _____      Total:  $ ______

Please select one Entrée for person 1: ______
Please select one Entrée for person 2: ______

1) Linguini Primavera (vegetarian)
2) Pan-Roasted Citrus Alaskan Salmon (gluten free)
3) Woodford Reserve Chicken Breast

 

Luncheon/Business Meeting, Saturday, March 25, 12:30 p.m. ($11.50 per person)

  How many?   _____     Total:  $ ______
   
Please select from the following boxed lunch options for person 1: ______
Please select from the following boxed lunch options for person 2: ______
 
 1. Classic Sandwich served with Potato Chips, Whole Fruit and a Cookie)

a) Turkey and Swiss
  b) Ham and Swiss
  c) Garden Vegetable and Cheese
 
2. Garden Vegetable and Boursin Sandwich with Roasted Vegetables, Lemon Caper Couscous and Bakery-Fresh Brownie
 
3. Turkey Fajita Ciabatta with Black Bean Salad and a Cinnamon Cookie.
 

Registration (There are no dues. Automatic membership is by attendance or by e-mailing a request to Secretary, Jamuna Samuel <samuelja@sas.upenn.edu>)
$55 if postmarked by March 13; $60 after that or at the door**

$55 if postmarked by March 28th; $60 after that or at the door**

  How many?  ______      Total:  $ ______
   
$35 for adjunct professors (or those with only part-time employment) if postmarked by March 13; $40 after that or at the door**
  How many?  ______      Total:  $ ______
   

$15 for retired people, students, and those not presently employed if postmarked by March 28; $20 after that or at the door**

  How many?  ______      Total:  $ ______
   
$5 for undergraduate students (either by mail or at the door).
  How many?  ______      Total:  $ ______
 
    Grand Total: $_______
   

**Those who mail this registration form by March 13th will be included on the list of pre-registrants to be distributed at our meeting. Please register as soon as you can so we can plan the refreshments, dinner, and luncheon for you.

Please mail this form along with your check made out to MTSMA to:

Eugene Montague, MTSMA Treasurer
2211 Ross Court
Silver Spring, MD 20910
eugene_m@gwu.edu

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