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1. Name (Required.)

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2. Company/Organization (Required.)

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4. Phone (Required.)

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5. Additional Attendees (list all others attending)

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6. Meal Options: Roasted Turkey Sandwich, Chicken Salad Wrap and a Vegan Wrap.

Please share below how many of each type of boxed lunch you need for your group:

*Please note: this registration form is simply to let the QBC know who from your business or family is attending. All members need to pay for this luncheon: CLICK HERE.

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7. Sponsorship Level

For questions regarding your membership level, please email board@illiniqbc.com

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8. Do you (or anyone in your party) follow any dietary restrictions?

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