Mid-Atlantic Chapter Event Registration Dinner and/or Ghost Tour The Mid-Atlantic Chapter has two events planned at the National Conference in New Orleans on Tuesday, October 13. Registration deadline for both events is October 5. First Event: Dinner at Dickie Brennan’s Bourbon House, 144 Bourbon St., New Orleans, LA 70130, 504-522-0111. Dinner includes soup or salad, main course and dessert with New Orleans cuisine. Attendees will have a choice of soup or salad (Seafood Gumbo or House Romaine Salad) and a choice of dinner entrée (BBQ Shrimp or Creole Chicken). Dessert is Banana Bread Pudding. A vegetarian option for dinner is available but must be requested on the registration form below. A cash bar will be available. There is no cost to Mid-Atlantic Chapter members and one guest and $20 for non-members and additional guests. Dinner is limited to the first 60 folks who register. Dinner begins at 5:45 pm on Tuesday, October 13. Second Event: Ghost Tour by Voodoo Bone Lady Haunted Tours, 201 St Charles Ave #2560, New Orleans, LA 70170, 504-267-2040. Tour leaves at 8 pm from 701 Royal Street, a short distance from our dinner at the Bourbon House. Cost is $25.99 per person. This is a walking tour which will take approximately 2 hours. Registration Form Registrant Information – You can choose either event or both events. Please complete only for the event(s) you will be attending. Registrant: Company: Dinner at Bourbon House Telephone: Member: No charge Guest of Member: No charge Non-Member and additional guests: $20 per person # of non-members/additional guests attending: _______ E-mail address: Dinner Choice: Please list total for dinner choice: BBQ Shrimp: ____________ Creole Chicken: _________ Vegetarian meal requested: _____________ Total due for Non-member/additional guests attending: (# above x 20 per person) $______ Dinner Choice (Please Chapter Member: BBQ Shrimp: choose for Chapter member and all guests and/or nonmembers (for additional non-members or guests please use another Registration form) Ghost tour at Voodoo Bone Lady Haunted Tours Creole Chicken: Name of Guest or Nonmember: Vegetarian meal requested: BBQ Shrimp: __________________________ Creole Chicken: Name of Guest or Nonmember: Vegetarian meal requested: BBQ Shrimp: __________________________ Creole Chicken: Vegetarian meal requested: Cost: $25.99 per person # of persons: ________________ Total due: $___________________ Payment by Credit Card Please access the AICP online registration at AICP online registration system and enter the required information or provide the following information if mailing the registration form: Credit Card Payment in the amount of: $___________________ Credit Card Type: Visa MasterCard American Express Card Number: _________________________ Expiration __________________ Name As it Appears on Card: _________________________________________ Name of Registrant(s): _______________________________________________ Payment by check: Mailing the Registration Form: Signature: ____________________________________ Check enclosed Date: ________________________ Please make the check payable to: AICP. If you are mailing a check, please see below for the address. Please mail the registration form and your check to our secure AICP lockbox at: AICP AICP/Wells Fargo P.O. Box 758938 Baltimore, MD 21275-8938 Questions? For questions on the Dinner event, contact Silje Roalsvik or Noel Valenti-Grammer. For questions on the Ghost Tour, contact Sam Garro.