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Use this form to Register for the MMSA Annual Meeting June 2, 2008 held at:

Parris Restaurant
Faneuil Hall
250 Quincy Market Building
 
(617) 248-9900 at 6:30PM. Please submit Credit Card information or send your check to ($40):

Annette W. Fothergill, MA, MBA
Technical Director
Fungus Testing Laboratory
University of Texas
Health Science Center--San Antonio
7703 Floyd Curl Drive
San Antonio, TX 78229

*First name:

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*Entree Selection:

MeatFish Vegetarian

Please list the name(s) of guests who will accompany you &

their menu item preference:

Also Pay Annual Membership Dues?

Dues $20 + Event $40 = Total Charge $60

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Expiration Date: xxxx

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