USWCA WINTER MEETING RESERVATION & INFORMATION
MONDAY, FEBRUARY 11-THURSDAY, FEBRUARY 14

FOR MEETING ATTENDEES – Please complete this FORM and send your CHECK made payable to “USWCA” by January 15, 2019 to:

Julie Denten
955 Hawthorne Lane
Northbrook, IL 60062

Email address *
Name: *
Your answer
Curling Club: *
Your answer
Cell Phone:
Your answer
MEETING ATTENDANCE:
I will ATTEND the following Meetings: (check all that apply)
USWCA NATIONAL BONSPIEL
Kit Party (Wednesday, February 13th)
USWCA Annual Meeting and Banquet (Thursday, February 14th)
MEAL DETAILS:
Please indicate below if you have any specific dietary needs or food allergies. Also, if you are pre-ordering a boxed lunch for Tuesday, please select which option you would like. All banquet entrees can be altered to accommodate restrictions. A vegetarian pasta dish is available as a special request under "Specific dietary needs".
Specific dietary needs or food allergies:
Your answer
Tuesday Pre-Order Box Lunch-Select Choice
Thursday Annual Meeting and Banquet-Select Choice
GUESTS:
If you are planning for a guest(s) to also attend meals, please include the additional information below.
Please provide guest(s) names and what meal(s) they are planning to attend. If he/she is ordering a boxed lunch and/or attending the banquet, please note the correct meal option(s).
Your answer
Total Cost for Meals:
President's Welcome Dinner-Monday evening ($10)
Pre-Ordered Box Lunch-Tuesday ($35)
Taco Buffet Dinner- Tuesday evening ($45)
BOD Luncheon-Wednesday ($32)
Annual Meeting and Banquet ($50)
My total payment for meals (including guests) is:
Your answer
HOTEL:
All reservations and arrangements are to be made by attendees-Deadline for guaranteed rate is January 21, 2019.
I will be:
TRAVEL INFORMATION
Please provide your flight arrival information below including Airport, Airline, Flight # and date & time. (Example: ORD, Delta, Flight #123 on Sunday at 7:30pm)
Your answer
Please provide your flight departure information below including Airport, Airline, Flight # and date & time. (Example: ORD, Delta, Flight #321 on Wednesday at 4:00pm)
Your answer
I will be staying:
PAYMENT SUBMISSION:
When you hit the submit button below, a copy of your responses will be emailed to you via google forms. Please print a HARD COPY of the email and send it with your CHECK made payable to the “USWCA” by January 15, 2019 to:
Julie Denten
955 Hawthorne Lane
Northbrook, IL 60062
If you have questions, please contact Julie via email: jmdenten29@gmail.com

Thank You!

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