Registration
2008 Michigan ASLA Annual Conference and Awards Gala
Frederik Meijer Gardens and Sculpture Park, Grand Rapids, MI
October 23rd, 2008


(Please check spelling. Names will appear on name badges as entered.)

Company Information
Company Name
Address
City State Zip
Phone Fax

Registrant Information
Name Email

Name Email

Name Email

Name Email

Name Email

Name Email

Name Email

Meal Choices
Lunch:
   Buffet: (Qty)
   Vegetarian: (Qty)

Dinner:
   Salmon: (Qty)
   Chicken Francaisse: (Qty)
   Eggplant Parmesan: (Qty)
Please note any dietary restrictions:

Registration Selection
   Michigan ASLA Member: (Qty) x $125.00
   Michigan ASLA Non Member: (Qty) x $125.00
   Michigan ASLA Student: (Qty) x $50.00
   Awards Gala Only: (Qty) x $45.00

NEW! Do you have more than three people Registered on this form? Receive $25.00 off per person. All registrants must be listed on this form at time of submittal, no exceptions.

   Number Registered: (Qty) x ($25.00)

Payment Information
Check #
(If unknown, please enter N/A to indicate payment by check)
Please mail all checks to: 1000 West St. Joseph Hwy, Ste 200 Lansing, MI 48915

Or
Visa Master Card American Express

Credit Card #
Exp Date
Name on Card:

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