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CPCU Luncheon - May 21, 2019
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First Name
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Last Name
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Please make the following reservation:
Herb Grilled Chicken
Watermark Salad
Broccoli Alfredo
CPCU member:
CPCU Member - Not bringing guest($25)
CPCU Member - Retired ($18)
Non-Member & First Time Guest ($17)
Non-Member ($27)
CPCU Member ($25) Guest attending________
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Insurance Affiliation
Fifth Third
Farmers
Fremont Insurance Company
Harleysville Insurance Company
Hastings Mutual Insurance Company
Marsh & McLennan
Michigan Insurance Company
State Farm Insurance Company
Acuity, A Mutual Insurance Company
Auto Owners Insurance
Others, please specify________
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Please sign up no later than May 16th. The survey will be closed after May 16th. I understand that if I cannot attend the luncheon/workshop and I do not cancel my reservation (3) business days, prior to the meeting, I will be responsible for paying for the lunch. To cancel, please contact Alissa Jinks (616) 956-3887. Thank you.
I agree