CEI Central Region 2004 Spring Meeting Registration Form

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2004 Central Region Spring Meeting Registration Form Fill in the form below, write a check payable to CEI, and mail a copy of this form to Clem Welch Central Carolina Community College 1105 Kelly Drive Sanford, NC 27330 Name________________________________ College_______________________________ E-mail/telephone number_______________________________ Your registration fee of $25.00 includes Lunch at the Pitt Stop Café. Lunch includes house salad; choice of baked potato, fries, or onion rings; homemade dessert; coffee or tea; and deli sandwich. Please choose one: ____ Turkey breast ____ Homemade Chicken Salad ____ Reuben Ticket to The Millworker. Matinee performance at Chatham Mill. Conference Cost: ____$25.00 ____(Become a member today. Full-time faculty can join CEI for $15.00 per year. Adjunct faculty can join for free!) Please register by March 26, 2004. You will receive directions when your registration is confirmed. We are looking forward to sharing this experience with you!

2004 Central Region Spring Meeting Registration Form

Fill in the form below, write a check payable to CEI, and mail a copy of this form to
Clem Welch
Central Carolina Community College
1105 Kelly Drive
Sanford, NC 27330
Name________________________________
College_______________________________
E-mail/telephone number_______________________________
Your registration fee of $25.00 includes

Lunch at the Pitt Stop Café. Lunch includes house salad; choice of baked potato, fries, or onion rings; homemade dessert; coffee or tea; and deli sandwich. Please choose one:
____ Turkey breast
____ Homemade Chicken Salad
____ Reuben

Ticket to The Millworker. Matinee performance at Chatham Mill.

Conference Cost:
____$25.00
____(Become a member today. Full-time faculty can join CEI for $15.00 per year. Adjunct faculty can join for free!)
Please register by March 26, 2004. You will receive directions when your registration is confirmed. We are looking forward to sharing this experience with you!