RESERVATION FORM

JOINT MEETING: DC, FDA, AND UNIVERSITY OF MARYLAND CHAPTERS OF SIGMA XI

MEMBER'S NAME: ___________________________

PHONE NUMBER: __________________

CHAPTER AFFILIATION: FDA CHAPTER

GUEST'S NAMES (for nametags):

NUMBER ATTENDING: _______

AMOUNT OF CHECK (at $12.50 per person) $___________

MAKE CHECK FOR $12.50 PER PERSON PAYABLE TO:

D.C. CHAPTER OF SIGMA XI

SEND CHECK WITH RESERVATION FORM TO:

DR. JOHN LYDON

4400 ROMLON STREET

BELTSVILLE, MD 20705

Phone: (301) 504-5379 (W)

(30l) 595-1066 (H)

email: jlydon@asrr.arsusda.gov

DEADLINE FOR RESERVATIONS: MONDAY, SEPTEMBER 22

Last modified on 09/10/97 by frf.