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2017 Annual Meeting RSVP

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1. First name:

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2. Last name:

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3. E-mail:

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4. What AGA club do you belong to? If you do not belong to an AGA club, enter "none".

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5. What position do you have with your club or affiliation with the AGA?

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6. Thank you for the invitation to attend the AGA Annual Meeting. If you plan to bring a guest, instructions for payment will be available upon completion of the RSVP.

I plan to attend the meeting only

I plan to attend the meeting and the dinner

I plan to attend the dinner only

I plan to bring a guest(s) to dinner. (please provide the name(s) below)

I'm sorry I am unable to attend; however, I have arranged to have someone attend in my place (please provide the name(s) below)

I'm sorry but I am unable to attend

Name of guest(s) or replacement

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7. The dinner entrees for the evening will be pesto chicken and shrimp parmesan. Please indicate if you have an allergy to either entree so we can accommodate you.