Eleventh Annual Meeting

Temple University
Philadelphia, Pennsylvania

Friday and Saturday, March 15-16, 2013

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 MTSMAtreasurer with payment.

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)

  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 Treasurer
4223 35th Street South
Arlington, VA 22206

 

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