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CPCU Luncheon - Tuesday, February 18nd 2014
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First Name
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Last Name
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Please make the following reservation:
Spinach & Artichoke Chicken Breast: topped w/parmesan cheese sauce
Pasta Primavera: pasta, vegetables & topped with EVOO red sauce
Classic Chicken Ceasar Salad
CPCU member:
CPCU Member - Not bringing guest($23)
CPCU Member - Retired ($15)
Non-Member & First Time Guest ($15)
Non-Member ($25)
CPCU Member ($23) Guest attending________
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Insurance Affiliation
Fifth Third
Farmers
Fremont Insurance Company
Harleysville Insurance Company
Hastings Mutual Insurance Company
Marsh & McLennan
State Farm Insurance Company
Acuity, A Mutual Insurance Company
Others, please specify________
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Please sign up by Monday, February 10, 2014. I understand that if I cannot attend the luncheon/workshop I am responsible for the cost of the meal or I will send someone in my place. Members have (5) days before the luncheon date to cancel without charge. Please contact Deonia Montgomery @ 616-437-8746. Thank you.
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