I. Enter Contact Information for Person
Sending This Form:

                     Last Name, First Name*      Company*                        Street Address*                 
                    

                     City*                                State (e.g., TX, LA, etc.)*    Zip*
                    

                     Phone*                             Fax                                  eMail*
                    

II. Declare Number of Attendees in Party

III. Declare Method of Payment:
(Check only one box, please)
Electronic Payment at this Web site        Check by Mail

IV. Enter registration information for all attendees
you wish to registeron this form (including
person sending this form, if applicable)

The luncheon fare will consist of:

Salad with Spinach, dried cranberries, grape tomatoes,
crumbled goat cheese, and raspberry vinaigrette

Warm rolls with butter

Apple and Walnut stuffed chicken breast with brandied cinnamon

Potatoes Au Gratin

Green beans almandine

Eggnog Crème Brulee and Pumpkin Cheesecake with
Gingerbread Crust

Iced tea/Water/Coffee

NOTE: Since the menu is "universal" this year, there is
no need to make a selection below as in previous years.

All attendees will be served the same fare.