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 5, 2007.
____   Enclosed is my my check in the amount of:
____   You are authorized to charge my credit card:                       $__________________

____________________________ ______/_____ Payment By
Visa/MasterCard Number Exp. Date Nov. 16^th Nov. 30^th

_________________________________________ Check Choice of
Authorized Signature Dinner Entrée

_________________________________________   Steak        _____    $60.00       $70.00
MSPC Member Name                                                  Salmon      _____
                                                                                     Veg. Pasta _____

_________________________________________   Steak        _____    $60.00        $70.00
MSPC Member Significant Other                                  Salmon      _____
                                                                                     Veg. Pasta _____

_________________________________________   Steak        _____     $75.00        $85.00
Non-Member/Guest Name                                            Salmon      _____
                                                                                     Veg. 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