Beautification Awards Breakfast Reservation Place: SentryWorld High Court, 601 North Michigan Ave., Stevens Point Date: Tuesday, October 14, 2008 Cost: $15/Members Cost: $20/Prospective Members Reservation deadline: Wednesday, October 8, 2008 (If you do not make the deadline and still want to participate, please call our office at 715/344-1940) Contact Information Contact Name: Company Name: Company Address: Company City: Company State: Company Zip: Company Phone Number: Company Fax Number: *Required E-Mail Address: Attendee Information Please fill in first and last name and the company name of all attending as they appear on name tags. First Name Last Name Company Total Member Number Attending: 12345678910 x $15/Members = $

Total Non-Member Number Attending:

12345678910

x $20/Prospective Members =

$