First Name   Last Name

Company/Organization

Email (required for on-line RSVP)

Non-member / Guest Info:
        Street Address
        City, State & Zip
        Telephone

Interested in becoming a WCCI Member?

 Yes - Please email me a WCCI membership information packet.
 No, thanks. I'll continue paying the $30 non-member rate.

Meal Choices:

Hot plated entrées include a salad, dessert and choice of coffee, iced tea or milk.

Pork Loin
Veggie Pasta Primavera (Vegetarian)

All entrees served with bread sticks and butter, salad, dessert and choice of coffee, tea, milk or iced tea.

Payment:
$0 – Prepaid Member
$15 – Member
$30 – Non-member
$25 – Non-member rate with a special $5 OFF coupon.
$15 – Student

PLEASE NOTE: No-shows will be billed unless registration is cancelled 48 hours prior to event.

Comments or suggestions for speakers or topics: