2018 Sept 13 ACS dinner reservation form
DATE: September 13, 2018
LOCATION: Reed College Vollum Lounge
ADDRESS: 3203 SE Woodstock Blvd, Portland, OR 97202
TIME: 6-9 PM

TALK TITLE: The Science of Aging

SPEAKER: Professor Melissa Cannon, Western Oregon University


MEETING DETAILS: Recognition of 25 and 40 year Members

$20 Regular dinner per person (pay online below or prepay by check).
$10 Student/teacher/unemployed dinner per person
FREE for presenters, speakers, awardees

Reservations still may be made but cost increases $5 after the deadline (including at the door).

PAY AT THE DOOR is $5 extra ($25 regular, $15 student). Reservations made after the deadline also cost $5 extra.

RESERVE YOUR DINNER: To reserve your dinner complete the form below. Your dinner reservation is not complete until you click the BLUE SUBMIT BUTTON.

We encourage you to prepay for your dinner reservations ONLINE using the Section's SQUARE PAYMENT SITE. After you click SUBMIT at the end of the FORM the link will take you to the SQUARE payment site.

To PREPAY BY CHECK, mail a check payable to "Portland Section ACS" to Dave Reingold, 808 NE Siskiyou, Portland OR 97212-2270.

NEWSLETTER: http://portland-or.sites.acs.org/newsletters/newsletter-sep.pdf

Portland Section webpage http://portland-or.sites.acs.org

Entries to this form automatically are sent to Portland Section ACS.

Lastname *
Your answer
Firstname(s) *
Your answer
Your answer
Phone *
In case of cancellation we need to have contact information. Thank you for understanding.
Your answer
Number of meat entrées
Your answer
Number of vegan entrées
Your answer
Number of meals requiring Dietary Restrictions
Provide details about Gluten free, allergies, etc. -- this is a text field, INCLUDE NUMBERS of meals
Your answer
Number of student/teacher/unemployed meals ($10)
Your answer
Number of Regular meals ($20)
Your answer
Number of FREE meals
Speaker, awardee, poster presenter, etc.
Your answer
Payment (Check one, then click "Submit") *
After you click "SUBMIT" click the link, which will take you to the SQUARE payment site.
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