SOUTHERN CALIFORNIA CASUALTY ACTUARIAL CLUB
REGISTRATION FOR THE MAY 17, 2007 MEETING
Phone / Fax Registration to:
Rod Morris
(213) 688-3374 (Phone)
(213) 694-5121 (Fax)
Date:
Send Payment with copy of this registration to:
Rod Morris
Deloitte Consulting, LLP
350 South Grand Avenue, Suite 200
Los Angeles, CA 90071
Pages (including this page):
From:
Company:
Phone:
Payment Method:
Please check one:
e-mail:
(for confirmation only)
Check
PAYPAL Credit Card Payment
Please print the name of each attendee, indicate meal choice, and specify whether
attending Morning (M), Afternoon (A) or Both (B)
Grilled
Vegetable New York
Session
Name of Attendee
Chicken
Lasagna
Steak
(M,A,B)
Attach additional pages as necessary