NEASIST Summer Social Picnic & Awards

Thursday, 1 July 2004, 5:30 - 8 PM

Registration Form - Print and mail

Questions about registration: 617.971.9747 or CarynLAnderson@yahoo.com

Bringing the family? Kids under 10 are free!!

Please indicate the number children attending:

Check: Send $15 per person (Checks payable to NEASIST) to:
Caryn Anderson, P.O. Box 788, Jamaica Plain, MA 02130

Payment Information

Credit Card:

__MasterCard __Visa __American Express

Name on Card:

Card Number:

Expiration Date:

Signature:

Check One:

__ASIST Member
__Spouse or Significant Other of ASIST Member
__Student/Retiree/Between Jobs
__Non-ASIST Member: Interested in receiving information about future events? __Yes __No Thanks

Email:

Affiliation (for name badge):

Name:
 

 

Summer Social Picnic Details | NEASIST Upcoming Events

 

hennig@mit.edu
07 June 2004