Midwest Society of Professional Consultants - A Powerful Link Between Consultants and Clients

Reservations can not be confirmed until payment is received. Mail this form along with a check made payable to the Midwest Society of Professional Consultants (MSPC) or fax with your credit card authorization to:

Sheldon Greenberg Print this page
Computer Software Systems, Inc.
838 Leyden Lane
Wilmette, IL 60091 FAX: 847-251-6502

Yes! I want to attend the Gala Holiday Celebration on December 6, 2006.
____   Enclosed is my my check in the amount of:
____   You are authorized to charge my credit card:                       $__________________

________________________ ____/____ ______ Payment By
Visa/MasterCard Number Exp. Date Vcode Nov. 15^th Nov. 30^th

_________________________________________ Circle Choice of
Authorized Signature Dinner Entrée

_________________________________________ Steak Salmon or $60.00 $70.00
MSPC Member Name Pasta

_________________________________________ Steak Salmon or $60.00 $70.00
MSPC Member Significant Other Pasta

_________________________________________ Steak Salmon or $75.00 $85.00
Non-Member/Guest Name Pasta

_________________________________________ TABLES MSPC NON
Address OF MEMBER MEMBER

_________________________________________ 8 $480.00 $600.00
City, State, Zip 10 $600.00 $750.00

_____________________ _______________________________________________
Phone Fax/E-Mail (for confirmation)

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December Gala Holiday Celebration Reservation Form