CIRPP Monthly General Meeting Registration Form

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Complete this form if you plan to attend the CIRPP monthly General Meeting held on the Third Thursday of each month (except August) from 11:30 am - 1:00 pm at the I-Hotel

Lunch & Networking: 11:30 am- 12:00 pm

Presentation: 12:00-1:00 pm

Location: I-Hotel (1900 S. 1st Street, Champaign)

Cost: $16 per person in advance

RSVP quickly as space is limited to the first 60 to register!

At the conclusion of the meeting, we will be holding a 50/50 raffle drawing. Proceeds will be given to the charitable organization of the quarter. Tickets are 6 for $5 or $1 each.

Email *

Your First and Last Name *

Your business name *

Your Guest(s) names

Guest Company Name

Guest Email Address (for reminder of meeting)

Is your guest a potential member or a co-worker? Potential members will be considered for one of the five guest free lunches offered each month.

Potential Member

Co-Worker

Neither

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Do you have a food preference? If so, please indicate below *

Gluten Free

Vegan

Vegetarian

No preference

Does your guest have a food preference? If so, please indicate below *

Gluten Free

Vegan

Vegetarian

No preference

No Guest

Registration Fee *

Please invoice me for this month's event ($16.00)

I will pay $20 at the door

I paid for all the General Meetings in advance.

Please ask the following question(s) of the speaker/panelist for this month's meeting.

I would like to suggest a topic/speaker for a future luncheon.

I would like CIRPP to consider the following charitable organization to benefit in the future from the CIRPP monthly 50/50 raffle.

A copy of your responses will be emailed to the address you provided.

Submit

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