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Northern NM Chapter of Credit Unions

Quarterly Chapter Dinner Meeting Registration Form

Wenesday, January 13, 2010

The Lodge at Santa Fe

$29 per person

6:00 No-Host Bar

6:30 Dinner

7:15 Business Meeting

Please fill out a separate line for each registrant. Submit additional registration forms as needed.

Attendee 1 Name

Attendee 2 Name

Attendee 3 Name

Attendee 4 Name

Attendee 5 Name

Attendee 6 Name

Credit Union or Business Partner

City State Zip

Contact Person Phone Number

Email

Deadline to register is January 7, 2010

*If you prefer a vegetarian dinner, please notify Maria Suazo 954-3408 before January 7.

Payment must be received by January 7, 2010

Please mail payment to:
Northern NM Chapter of Credit Unions
c/o Maria Suazo, Secretary
813 St. Michael's Drive
Santa Fe, NM 87505

NO SHOWS WILL BE BILLED. SUBSTITUTIONS ARE ALWAYS WELCOME.