IPC Annual Dinner - Oct 28, 6pm

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IPC Annual Dinner - Oct 28, 6pm

Guest Registration Form

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Number of guests registering *

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Name of all attending *

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Decline IPC 2024 Annual Membership?

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Mailing Address

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Preferred Email *

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Preferred Phone Number *

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Payment: $50 per guest (includes 2024 Membership) *

Pay with card with Paypal: https://www.paypal.com/donate/?hosted_button_id=PSEHHGVDRUZUY

Mail check made out to "IPC" to: Don Mueggenborg, IPC Treasurer, 9 E Peiffer, Lemont, IL 60439

Pay with cash or check on arrival at the dinner

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