CPCU Luncheon - March 17, 2020

* First Name * Last Name * Please make the following reservation: Spinach Artichoke Chicken Chicken Caesar Salad Pasta Primavera CPCU member: CPCU Member - Not bringing guest($25) CPCU Member - Retired ($18) Non-Member ($27) CPCU Member ($25) Guest attending________ Monthly Speaker (Complimentary) * 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 None (Monthly Speaker) Others, please specify________ * Please sign up no later than March 12th. The survey will be closed after March 12th. 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 Monthly Speaker