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CTx 2008 Seminar Reservation

DEADLINE FOR ROOM RESERVATION:   FEBRUARY 15
DEADLINE FOR COMMUTERS:  FEBRUARY 22

NAME_________________________________________________

                            LAST                                         FIRST

CITY/TOWN

REPRESENTED___________________________________________COUNTY_____________________

PLAN CHOICES(S)_____________________________________________________________________

ADDRESS_________________________________   PHONE ____________

CITY/TOWN_______________________________   ZIP ________________

COMMUTER – WHICH DAYS (S)__________________________________________________

Banquet (check choice)

·         Roast Prime Rib of Beef                                                        __________

·         Sea Bass with cornmeal crust, pineapple salsa                      __________                   

·         Roast Pork Loin, herb and peppercorn crusted                  ­­­­­­­­­­­­­   __________

·         Pasta Primavera                                                                     ___________                                                           

AMOUNT DUE_______________ AMOUNT ENCLOSED________________

ROOM RESERVATIONS- PLEASE FILL OUT FORM  BELOW

ARRIVAL DATE_______________DEPARTURE DATE________________

Name of co-occupant if other than “Plan A”____________________________

______List special Dietary Needs:

ALL ROOMS ARE NON-SMOKING THERE ARE NO “SMOKING ROOMS”

MAKE CHECKS PAYABLE TO: “Connecticut Tax Collectors’ Association, Inc.”

PLEASE RETURN TO:        DEBRA A. GUERRETTE

                                               REVENUE COLLECTOR

                                               ONE CENTRAL SQ

                                               PLAINVILLE, CT  06062

NO REFUNDS OR CHANGES CAN BE MADE AFTER MARCH 6, 2008

QUESTIONS????? CALL-DEBBIE AT 860-793-0221 EXT. 237