ADVANCE REGISTRATION FORM
NMAER
SIXTY-SIXTH ANNUAL CONVENTION
SANTA FE, NM
Convention Registration $25.00 X ________(number of people) = $___________
MEALS INCLUDE TAX AND GRATUITY
Lunch (Fri. October 17) $18.10 X _______(number of people) = $___________
Chicken Salad Veronique: (poached chicken salad with grapes, celery & onions over a bed of
mixed greens, assorted fruit parfait, assorted breads & butter, coffee and herbal tea)
Banquet (Fri. October 17) $28.45 X _______(number of people) = $___________
Seared Chicken Breast with Green Chilie Sauce: (with Parsley Rice, assorted breads and butter,
regular and decaffeinated coffee and herbal teas, salad and dessert)
Breadfast (Sat. October 18) $19.40 X _______(number of people) = $___________
Traditional Breakfast: (fruit juices, pastries, butter & fruit preserves,scrambled eggs with
cheddar cheese and chives, bacon & sausage, sauteed potatoes, dry cereals, oatmeal with brown
sugar and raisins, coffee and herbal teas)
NMAER Unit:_____________________________________________________________
VOTING DELEGATE NAME: _______________________________________________
(Please Print)
NON-VOTING DELEGATE NAME:___________________________________________
GUEST NAME:_____________________________________________________________
SIGNATURE:______________________________________________Date:____________
Write "For Deposit Only" in the endorsement space on back of the check.
AND
Mail the check and completed Registration Form to: Ernestine Hagman
8 Sloman Court
Santa Fe, NM 87507
Note: Completed registration forms and checks are expected no later than Tuesday, September 23rd.
REGISTRATIONS RECEIVED AFTER SEPTEMBER 23rd WILL NOT BE GUARANTEED.. Refunds for cancellations will be addressed on an indvidual basis and accommodated if reasonably possible.