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* 1. Name:

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* 2. WICA will be serving a plated dinner at the President's Dinner of the 2017 Convention.  Please select one of the following entrees for your dinner that evening:

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* 3. Guest/Spouse Name: (please only use this field if you registered your guest/spouse to attend the convention)

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* 4. Please select an entree for your registered guest/spouse:

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* 5. Questions/Comments:

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