Meeting Reservation

Topic: Wellness Programs - A Panel Discussion and Idea Exchange
Presenter:
Sherri Habben
Date: Wednesday, March 24, 2010
Location:
Cliffbreakers, 700 W. Riverside Blvd. Rockford IL
Registration: 11:00
Luncheon: 11:30-12:00
Workshop: 12:00-2:00 pm
Menu :  Hot Buffet

Cost: $20.00 member or $30.00 guest


Name:________________________________________________________________
                          [  ] Member          [  ] Guest
Title:_________________________________________________________________

Employer:_____________________________________________________________

Address:______________________________________________________________

City, State, Zip Code:___________________________________________________

E-Mail Address:________________________________________________________

Phone:___________________________  Fax:________________________________

Entree Selection:_______________________________________________________

Sign _____________________________________________
 
Date ___/___/
2009                          

                          
                               
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Cheryl Waszkowiak
Phone: 815.971.5724
Fax: 815.971.9007
Email: cwaszkowiak@rhsnet.org
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Reservations may be made up to the Friday before the meeting
        Cancellations must be made three days prior to receive refund
Please print invitation, complete  and mail, fax, or e-mail to: