Fall 2014 Meeting Board of Directors Registration Form
Please fax registration by Nov. 25th to (508) 831-5993 or email mrp@wpi.edu
Last Name_____________________First Name__________________________________________
Company______________________________________________________________________________
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I WILL ATTEND the Dinner for Board Members at Volturno’s Restaurant, 72
Shrewsbury St., Worcester, MA on Monday, December 1st at 6:30 p.m.
_______
I CAN NOT ATTEND the Dinner for Board Members at Volturno’s Restaurant,
72 Shrewsbury St., Worcester, MA on Monday, December 1st
……………………………………………………………………………………………………………………………………
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I WILL ATTEND the CHTE Board Meeting from 8:30–10:30 p.m. on Tuesday,
December 2nd in the WPI Campus Center and the Presentation and Lunch that
follows.
_______
I CAN NOT ATTEND the Board Meeting or the Presentation and Lunch on
Tuesday, December 2nd
……………………………………………………………………………………………………………………………………….....
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I WILL ATTEND the ACRC/CHTE Meeting from 1:00–5:00 p.m. on Tuesday,
December 2nd in the WPI Campus Center.
_______
I CAN NOT ATTEND the ACRC/CHTE Meeting from 1:00–5:00 p.m. on Tuesday,
December 2nd.
……………………………………………………………………………………………………………………………………….....
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I WILL ATTEND the Reception and Dinner at Higgins House on the WPI campus
Tuesday, December 2nd at 6:00 p.m.
_______
I CAN NOT ATTEND the Reception and Dinner at Higgins House on the WPI
campus Tuesday, December 2nd at 6:00 p.m.
……………………………………………………………………………………………………………………………………….....
_______
I WILL ATTEND the ACRC/CHTE Meetings from 8:00–3:30 p.m. on Wednesday,
December 3rd
_______
I will be having breakfast on Wednesday at 8:00 a.m.
_______
I will be attending lunch on Wednesday at 12:30 p.m.
_______
I CAN NOT ATTEND the ACRC/CHTE Meetings on Wednesday, December 3rd.
……………………………………………………………………………………………………………………………………….....
Other people from my company who plan to attend: ______________________________________
________________________________________________________________________________________________________
Food allergies and special requests:___________________________________________________________
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