June 6, 2009
Best Western Sovereign Hotel
1228 Western Avenue
Albany, NY 12203
Room rate is $85.00 single or double. Let Irwin know if you'd like a roommate.
Name _____________________________Telephone _______________
Address ___________________________________________________
City _______________________ State/Province _____ ZIP /Postal Code _________

Name to go on Badge ______________________________________________

In case of emergency, who should be notified:
Name _____________________________________ Relationship _________
Phone# _____________________
Spring Meeting Registratio__________________$4.00
Room @$85.00/night ______________________$ _______

King _______ 2 Double Beds _________
Smoking ______ Nonsmoking _________

Friday _________________________________ $ ______
Saturday _______________________________ $ ______
Rooming with _____________________
Need roommate (s) _____
Which night? __________
Meals
Lunch $13.50 (soup,sandwich,dessert) _______ $ ________
Dinner $25.00 ___________________________ $ _________
Sirloin Strip Steak _____ Talapia Scampi ________ Vegetarian Option _______
Total Enclosed __________________________ $ ____________
Mail Reservations and payment to:
Irwin Wagman
52 Harper Drive
Pittsford, NY 14534 Deadline: June 1, 2009

Persons with special dietary requirements should make them known when
submitting reservations.

8 MARCH 2009 EMPiRE VIOLET MAGAZINE