Eleventh Annual Meeting
Temple University
Philadelphia, 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.
MTSMA REGISTRATION FORM 2013
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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:
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Tacos de Suadero – soft tortillas with beef and onions |
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Ceviche de Camaron – cold shrimp marinated in lemon with onions |
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Corn Sopes – corn tortillas with refried beans and green salsa |
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House Salad |
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Mole Poblano – Chicken breast with mild chocolate sauce |
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Tres Huastecos – Beef medallions in pasilla, chipotle, and tomatillo sauce |
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Camarones a la Feria – Grilled shrimp topped with salsa diabla |
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Vegetarian Enchiladas – corn tortillas with sliced carrots, zucchini and onions |
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Luncheon/Business Meeting, Saturday, March 16, 12:15 p.m. ($10 per person)
Jimmy John’s Gourmet Sandwiches – Boxed Lunches
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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).
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Jimmy John’s Sandwich Number(s): ________________ __________________ |
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Beverage Choice(s): ______________________________ __________________ |
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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** |
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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** |
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How many? ______ Total: $ ______ |
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Grand Total: $_______ |
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**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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