February 8-9, 2010 Holiday Inn Select Columbia, Missouri
COMPLETE THIS FORM AND SEND IT IN, THEN MAIL YOUR CHECK or Return to the Program Page and select the Paypal Option
PLEASE COMPLETE THE FOLLOWING INFORMATION!
NAME OF PRIMARY ATTENDEE:
STREET:
CITY:
STATE: ZIP:
DAY PHONE:
EMAIL:
Membership Info - I am a member of:
NAME OF 1st ADDITIONAL ATTENDEE:
NAME OF 2nd ADDITIONAL ATTENDEE:
NAME OF 3rd ADDITIONAL ATTENDEE:
NAME OF 4th ADDITIONAL ATTENDEE:
I will pay by:
Credit Card using Paypal
Make check Payable to BBIM and Mail to:
Select the Sessions Desired:
Full Conference:
Must be postmarked or submitted on or before 1/15/2010 to be eligible for this price
Enter number for banquet at $40 per person (for those not attending conference).
Select Your Tuesday Plated Lunch Menu
Philly Cheesesteak sandwich with sauteed onions, American cheese on an Italian Roll. Served with garlic oven roasted potatoes and a pickle spear.
Baked Herb Breast of chicken toped with Chefs Supreme Sauce served with wild rice blend and Julienne honey glazed carrots
Chef Salad with ham, turkey, hard boiled egg, cheddar cheese, Swiss cheese and tomatoes. Served with croutons, rolls and butter.
Vegetarian Choice: Grilled Vegetable Wrap with balsamic glazed veggies and crisp lettuce in an Herb Spinach Tortilla. Please choose two of the following sides- Potato Chips, Ozark Slaw, Red Potato Salad or Pasta Salad.
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