Name(s) 1________________________________ 2___________________________________

Institution(s) 1_____________________________ 2___________________________________

E-mail Address(es) 1_________________________    2_________________________________

Mailing Address(es) 
1____________________________________________________________________________

2____________________________________________________________________________

Banquet, Friday, March 18, 6:30 p.m. ($30 per person)
Tonic Restaurant at Quigley’s Pharmacy

If you will attend the banquet, please choose one of the following:

Carolina fried chicken _______              Pan seared rockfish _______
Basil, ricotta, and smoked mozzarella ravioli __________

Luncheon, Saturday, March 19, 11:45 a.m. ($12 per person)

If you will attend the luncheon, please choose one of the following sandwiches:

Roast beef _______
Tuna salad _______
Chicken pesto _______
Vegetarian poblano fresco _______

Registration (There are no dues. Automatic membership is by attendance or by e-mailing a request to Rachel Bergman at: rbergman@gmu.edu)

$50 if postmarked by March 9; $60 after that or at the door**

$15 for retired people, students, and those not presently employed if postmarked by March 9; $20 after that or at the door**

**Those who mail this registration form by March 9th 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, luncheon for you.

Please note that the Hotel Lombardy will offer attendees a reduced rate, subject to availability. Quote the booking number 2304.

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

Dan Zimmerman, MTSMA Treasurer
4223 35 Street South
Arlington, VA 22206