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Chicago Group Annual Holiday Party
at The Hopleaf
Thursday, Dec. 16, 7-9:00 pm
REGISTRATION FORM DUE BY DEC. 9 *
To reserve a space (limited to 50) receipt of this form with
your paid registration
by December 9 is absolutely required!
Print and complete this form and send your reservation $$ to:
Chicago Group Holiday Party
c/o Sierra Club Illinois Chapter
200 N. Michigan Ave, Suite 505
Chicago, IL 60601
Include the following information with your check or money order:
Your Name: _________________________________________
Address: _________________________________________
_________________________________________
Phone: _____________________
Email: _______________________________
Name of Guests: _____________________________________
Total enclosed: $ ________
($33/person. Checks made out to: Sierra Club Chicago Group)
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*
To inquire if there is still space or to obtain more info,
contact Eric_P_Lorenz@rsh.net or call 312-563-4182.
To confirm receipt of
registration, call 312-251-1680.
NOTE: Also make a copy for your records.
PRINT FORM |