PLEASE ENTER YOUR NAME:
ENTER GUEST'S NAME, IF ANY:
MEMBER'S CHOICE:
 GUEST'S CHOICE:
Click SUBMIT below
after entering all
information
Pot Roast
 Pot Roast
Shrimp Salad
 Shrimp Salad
I AM NOT ATTENDING THE NEXT MEETING.
REPEAT PROCESS FOR EACH ADDITIONAL GUEST.
Remember, if you order a meal and then can't make it, you must cancel by 9pm the day before the
meeting.  To change your reservation, simply come back to this form and re-submit.

Speaker:

Michael Beaman

Safe Inheritance Corp.

State Long Term
Care Benefits
THURSDAY, September 2, 2010
Cost $14
(Includes tax, tip)

Russian Mushroom Soup
Choice of:

Pot Roast
Or
Shrimp Salad

Rolls and Butter
Tuxedo Cake
Coffee, Iced Tea