IEEE Maine Section 2009 Holiday Gathering Registration

1. IEEE Maine Section 2009 Holiday Gathering - Dec 12

For more information refer to the October issue of the Beacon or the Maine Section Website. www.ieee.org/maine
Please make checks payable to "IEEE Maine Section" and mail them to "David Kotecki, 5708 Barrows Hall, Orono, ME 04469".

1. Name (First, Last)

Name (First, Last)

2. IEEE Member Number

IEEE Member Number

3. Phone Number (207-xyz-abcd)

Phone Number (207-xyz-abcd)

4. E-mail Address (john.doe@gmail.com)

E-mail Address (john.doe@gmail.com)

5. Magic of Christmas Concert deadline for IEEE registration has passed. Any one who wants to get tickets for the concert could contact Allison at 773 – 6128, Ext. 301. Allison might be able to get you seats close to or in the block reserved for Section members.

Magic of Christmas Concert deadline for IEEE registration has passed. Any one who wants to get tickets for the concert could contact Allison at 773 – 6128, Ext. 301. Allison might be able to get you seats close to or in the block reserved for Section members. I will call Allison to get my tickets

I don't plan to attend the concert

6. Please make your dinner selection by entering a number in the boxes. For example if you want one Wild Mushroom Risotto and one Beef Rib Roast, enter 1 and 1 in the first two boxes and leave the other boxes empty.

Please make your dinner selection by entering a number in the boxes. For example if you want one Wild Mushroom Risotto and one Beef Rib Roast, enter 1 and 1 in the first two boxes and leave the other boxes empty. 1-Wild Mushroom Risotto
2-Beef Rib Roast
3-Herb Roasted Turkey
4-Applewood Smoked Ham

7. How many dinner tickets for members and guests? The cost is $30 per person. This number is the sum of numbers in the dinner selection question above.

How many dinner tickets for members and guests? The cost is $30 per person. This number is the sum of numbers in the dinner selection question above.

You will receive a confirmation e-mail after we receive your payment. If you have any questions please contact George Elliott at 207.990.2350 or gelliott@eece.maine.edu