HASLMS Media Specialists & Administrators: Connecting the Pieces to Build Powerful Partnerships
Banquet Registration Information
School Name *
Your answer
Names of Media Specialist, guest(s) & their titles ( i.e. Joan Smith, Principal)
Leave empty if not applicable
Media Specialist *
Your answer
Guest 1
Your answer
Guest 2
Your answer
Guest 3
Your answer
After registering, use the links to the right for PayPal or print out Check Payment form and send the form with check to Sally Ehlke- Monroe Middle- Mail Route #1 --- RSVP Due by March 9, 2020
Number of tickets purchased *
Your answer
Payment Method (use links to the right) *
Standard Meal
The venue is serving Tuscan Chicken. (Gluten Free - except Rolls) The chicken is herb seared with roasted tomato butter, brushetta & mozzarella, served with seasonal starch and vegetables along with a house salad and rolls.

Please select how many standard meals you will need.
Standard Meal - Tuscan Chicken
If you or your guests have dietary restrictions, select how many Vegetarian or Vegan options you require.
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