ADVANCE REGISTRATION FORM

NMAER

SIXTY-SEVENTH ANNUAL CONVENTION

GALLUP, NM

October 16-17, 2009

"Venture Along Route 66"

 

Convention Registration            $25.00  X  ________(number of people) =       $___________

                             MEALS INCLUDE TAX AND GRATUITY

 

Lunch (Fri. October 16)          $17.00      X  _______(number of people) =       $___________

Buffet-roast beef, chicken enchilades (red or green), mixed greens / choice of dressing,

ambrosia salad,stir fried vegetables, and oven roasted potatoes.

 

 

Banquet (Fri. October 16)       $26.00     X  _______(number of people) =       $___________

Chicken Picatta, chicken breast sauteed in lemon, butter, white wine and

capers, rice pilaf, green beans Almandine, house salad, and coffee or tea

 

Breadfast (Sat. October 17)     $12.00      X  _______(number of people) =       $___________

Buffett-sliced fresh fruit, assorted pastries, cold cereals with milk, hash browns

or home fries, French toast with syrup, scrambled eggs, ham, bacon, and sausage,

and chilled juice, coffee, tea

 

                                         MEALS INCLUDE TAX AND GRATUITY

 

                                                                            Total Amount Enclosed    =  $ __________

 

NMAER Unit:_____________________________________________________________

 

VOTING DELEGATE NAME: _______________________________________________

                                                                            (Please Print)

 

NON-VOTING DELEGATE NAME:___________________________________________

 

GUEST NAME:_____________________________________________________________

 

SIGNATURE:______________________________________________Date:____________

 

 

Please make your check payable to: GMCEAR   

        Write "For Deposit Only" in the endorsement space on back of the check.

                                         AND

Mail the check and completed Registration Form to:   Clara Enriquez

                                                                                 503 West Wilson Ave.

                                                                                 Gallup, NM  87301

For Information:   Phone 505-863-6696 or E-Mail:  DoisaEnriquez@aol.com

 

                                     

 

Note:  Completed  registration forms and checks are expected no later than Thursday, October 1st

 

REGISTRATIONS RECEIVED AFTER OCTOBER !st  WILL NOT BE GUARANTEED..  Refunds for cancellations will be addressed on an indvidual basis and accommodated if reasonably possible.