CPCU Luncheon - Tuesday, March 18, 2014.

* First Name * Last Name * Please make the following reservation: Southwest Grilled Chicken Salad Almond Chicken Broccoli Alfredo 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________ * 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________ * Please sign up by Monday, March 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) business days before the luncheon date to cancel without charge. Your cancellation would need to be received by noon on Monday, March 10, 2014. Please contact Deonia Montgomery @ 616-437-8746. Thank you. Agree