Twelfth Annual Meeting
Shenandoah University, Winchester, Virginia
Friday and Saturday, March 21–22, 2014
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 2014
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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 21, 7:00 p.m. ($35 per person)
Brewbakers Restaurant http://brewbakersrestaurant.com
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How many? _____ Total: $ ______ |
If you will attend the banquet, please choose an entrée from the four options below:
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Pan Seared Pork Loins (Three filets of pork loin marinated in montreal steak seasoning. Served over an apricot merlot sauce with steamed vegetables and your choice of side dish.) |
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Grilled Salmon (Fresh Atlantic salmon grilled with Key West spices and topped with a tropical fruit salsa. Served with mixed vegetables and your choice of side dish.) |
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The Brewbaker Sirloin (A center cut sirloin seasoned and grilled to perfection. Served with beer battered onion rings, mixed vegetables and your choice of side dish. 12oz) |
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Taco Salad (Vegetarian. An edible tortilla bowl overflowing with crisp lettuce, chili, shredded cheese, tomatoes, onions, jalapeños and topped with sour cream.) |
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Turtle Burger [n.b.: not made of turtles!] (Obviously the turtles favorite. Charbroiled to your liking and topped with your choice of cheese.) |
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Veggie Burger (Going meatless never tasted this good! Two juicy vegetable patties, each topped with melted swiss cheese.) |
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Luncheon/Business Meeting, Saturday, March 22, 12:30 p.m. ($10 per person)
Shenandoah Conservatory Dining Services
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How many? _____ Total: $ ______ |
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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)
$55 if postmarked by March 7th; $60 after that or at the door** |
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How many? ______ Total: $ ______ |
$15 for retired people, students, and those not presently employed if postmarked by March 7th; $20 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 10th 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.
NOTE: 20 rooms have been reserved at Wingate by Wyndham ($72/night + tax, mention MTSMA). Call (540) 678-4283.
20 rooms have also been reserved at The George Washington Hotel ($129/night + tax, mention MTSMA2014). Call (540) 665-4703.
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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