Registration Form

March 15, 2012

Golden Corridor Meeting

"Risk Management and Ergonomics In The Workplace"

presented by: Clayton S Shoup, CIH CSP, from Zurich NA


NEW Location:
Wingate by Wyndham
50 Remington Road
Schaumburg, IL 60173
(North of Golf Rd. on Roselle Rd. to Remington Drive. Go east on Remington to Wingate)



~~ Community Service Project ~~ One food item for a local pantry



The registration deadline is 12 noon, Monday, March 12, 2012

5:45 PM   Registration/Networking                         

Late Registration (after due date and time) will incur a $2.00 late fee

6:00 PM   Dinner** 

$20.00 for members and students
$22.00 for non-members

Chicken Marsala, Parslied Potatoes, Honey Glazed Carrots, BBQ Chicken Salad and Assorted Cookies

6:40 PM  General Meeting


7:00 PM  Program



~~ Dietary restrictions should be brought to the attention of Ann Kuhlmann when making your reservations. ~~

~~
Dinner cannot be guaranteed for those who register after Noon, Monday, March 12 , 2012~~

Please register for the dinner meeting using the registration form below. 
Be sure to check either the "dinner & program" or the "program only" box listed on the registration form.

Another option is to
e-mail ann.kuhlmann@kodak.com register for meeting
if you cannot use the online registration form.

Payment may be presented at the door; checks payable to Golden Corridor Chapter, or cash.
 

All reservations will be considered "Held and Non-refundable" unless cancelled prior to the reservation deadline. Registrations deadline is 12:00 PM--72 hours prior to the meeting.
 E-mail ann.kuhlmann @kodak.com to cancel registration.

~~ Late cancelations and no-shows will be invoiced ~~ 

 

   

 

 

    

        Ann Kuhlmann• 847-758-9879

Golden Corridor Chapter • PO Box 59551 • Schaumburg, IL 60159

 

 

 

    

 

    

 

    

 

    

 

    

 

    

 

    

 

    

 

    

 

    

 

    

 

    

 

    

 

    

 

    
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