Northern Virginia Post Luncheon & Meeting Reservation Form

PLEASE:  Also use this form to cancel your reservation as reservations not canceled within 24 hours of event are subject to payment.  Luncheon fees only accepted by cash or check at the door, make checks out to SAME Northern Virginia Post.  We now accept PayPal and credit card advance payments—payment link provided with reservation confirmation.

First Name:
Last Name:
E-Mail Address:
(required for courtesy reply)
I am making a:Reservation     Cancellation
*Is this your first meeting?:Yes     No
Luncheon Fee:Members = $30 Non-Members = $35
Active military/government/fully retired (not working for industry) = $20
Young members (35 and under) = $20Students = free
Young members.  Let us know now and we will meet you at the registration table and refer you to an Ambassador who is a from the Board whom will introduce you around!  What a great way to show the power and convenience of networking with SAME.      *Yes, please greet me
Organization/Company:
Initials Okay, so is NA
*Daytime Phone Number:
Date:
(See Activities Page for Specific Meeting Day)		 JAN   FEB   MAR APR   MAY   JUN
JUL   AUG   SEP OCT   NOV   DEC
*Remarks:
*Optional

For questions contact Cristina Neto, Aerotek Account Manager, Environmental, Engineering & Construction
Northern Virginia Post - Society of American Military Engineers (SAME) - Assistant Treasurer:

E-mail:  aneto@aerotek.com
Work:  571-480-5840
Cell:  703-675-5779
Fax:  571-480-5930

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