CIRPP Monthly General Meeting Registration Form
Complete this form if you plan to attend the June 18th CIRPP monthly General Meeting (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) **Quad Room**
Admission: $20 per person in advance and $25 at the door
RSVP asap so we have the correct amount of food for everyone and space is limited. 

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.  You can now purchase your raffle tickets when registering for the meeting!
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Email *
Your First and Last Name *
Your cell number (we can send the link to the invoice to your cell number and email address)
Your business name *
Your Guest(s) names
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.
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Guest Company Name
Do you have a food preference?  If so, please indicate below *
Does your guest have a food preference?  If so, please indicate below *
Cost of Admission (whether you eat lunch or not) *
Would you like to purchase raffle tickets to the 50/50 drawing? 
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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.
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