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Scholarship Dinner Registration

Maine Innkeepers Association Education Foundation

Senator Inn & Spa, Augusta

June 4, 2012

Thank you for your support of the Maine Innkeepers Association Education Foundation.

Guest 1

Name *
Email *
Phone *
Property/Company*
Address*
City *
State *
Zip *
Dinner: Crispy Lemon Chicken Breast with Lemon Beurre Blanc Sauce.
Please note any special dietary needs below:

Guest 2

Name *
Email *
Phone *
Property/Company*
Address*
City *
State *
Zip *
Dinner: Crispy Lemon Chicken Breast with Lemon Beurre Blanc Sauce.
Please note any special dietary needs below:

Guest 3

Name *
Email *
Phone *
Property/Company*
Address*
City *
State *
Zip *
Dinner: Crispy Lemon Chicken Breast with Lemon Beurre Blanc Sauce.
Please note any special dietary needs below:

Guest 4

Name *
Email *
Phone *
Property/Company*
Address*
City *
State *
Zip *
Dinner: Crispy Lemon Chicken Breast with Lemon Beurre Blanc Sauce.
Please note any special dietary needs below:

Payment

Number of Attendees
Cost: $55 per person