| Eleventh Annual Meeting
   Temple UniversityPhiladelphia, Pennsylvania
 Friday and Saturday, March 15-16, 2013
 The downloaded registration form is an editable pdf file, which you can fill out on your computer, print, and then send to the 
    MTSMAtreasurer with payment. 
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        MTSMA REGISTRATION FORM  2013   |  
      | Name(s) 1________________________________ 2___________________________________ Institution(s) 1_____________________________ 2___________________________________ E-mail Address(es) 1_________________________    2_________________________________ Mailing Address(es) 1____________________________________________________________________________
 2____________________________________________________________________________ Banquet, Friday, March 15, 7:00 p.m. ($40 per person)Las Cazuelas Restaurant (Zagat-rated Mexican restaurant; beer and wine included)
 
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      |  | How many?   _____      Total:  $ ______ |  
      | If you will attend the banquet, please choose one appetizer from the first group of four and one entrée from the second group of four options below: 
          
            | _____ | Tacos de Suadero – soft tortillas with beef and onions |  
            | _____ | Ceviche de Camaron – cold shrimp marinated in lemon with onions |  
            | _____ | Corn Sopes – corn tortillas with refried beans and green salsa |  
            | _____ | House Salad |  
            |  |  
            | _____ | Mole Poblano – Chicken breast with mild chocolate sauce |  
            | _____ | Tres Huastecos – Beef medallions in pasilla, chipotle, and tomatillo sauce |  
            | _____ | Camarones a la Feria – Grilled shrimp topped with salsa diabla |  
            | _____ | Vegetarian Enchiladas – corn tortillas with sliced carrots, zucchini and onions |  
            |  |  |  
      | Luncheon/Business Meeting, Saturday, March 16, 12:15 p.m. ($10 per person)Jimmy John’s Gourmet Sandwiches – Boxed Lunches
 
 |  
      |  | How many?   _____     Total:  $ ______ |  
      | If you will attend the luncheon, please go to the Jimmy John’s website (http://www.jimmyjohns.com/menu/menu.aspx), find the number of your preferred sandwich, and enter it below, along with your drink preference. All boxed lunches come with potato chips, a dill pickle, a cookie, and a beverage (Coke, Diet Coke, Sprite, or bottled water). 
          
            | _____ | Jimmy John’s Sandwich Number(s): ________________         __________________ |  
            | _____ | Beverage Choice(s): ______________________________ __________________ |  |  
      | Registration (There are no dues. Automatic membership is by attendance or by e-mailing a request to Rachel Bergman at: rbergman@gmu.edu)
 $75 if postmarked by March 4; $85 after that or at the door** |  
      |  | How many?  ______      Total:  $ ______ |  
      | $20 for retired people, students, and those not presently employed if postmarked by March 4; $30 after that or at the door** |  
      |  | How many?  ______      Total:  $ ______ |  
      |  |  |  
      |  |  | Grand Total: $_______ |  
      |  |  |  
      | **Those who mail this registration form by March 4th 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. NOTE: 12 rooms have been reserved at the Conwell Inn on the Temple campus at a special rate of $135/night (breakfast included), 6 with separate beds that can accommodate 3-4 roommates if desired. This rate is only guaranteed until 2/15, and space is limited, so please book ASAP. Reservations (keyword: “MTSMA”): (215) 235-6200. http://www.conwellinn.com/accommodations-amenities  20 rooms have also been reserved at the Doubletree Hotel Philadelphia at the special rate of $129/night. This rate is only guaranteed until 2/22, so please book ASAP. Reservations (keyword: “MTSMA”): (215) 893-1600. http://doubletree3.hilton.com/en/hotels/pennsylvania/doubletree-by-hilton-hotel-philadelphia-center-city-PHLBLDT/index.html  Please mail this form along with your check made out to MTSMA to:  Dan Zimmerman, MTSMA Treasurer4223 35th Street South
 Arlington, VA 22206
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