June 4, 2011

Ramada Inn
1305 Buckley Road
Syracuse, NY 13212
Room rate is $99.00 single or double.(Includes Breakfast) 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__________________$6.00
Room @$99.00/night ______________________$ _______

King _______ 2 Double Beds _________
Smoking ______ Nonsmoking _________

Friday _________________________________ $ ______
Saturday _______________________________ $ ______
Rooming with _____________________
Need roommate (s) _____
Which night? __________
Meals
Lunch $14.00 (croissant sandwich) ham ___ turkey ___ roast beef ___ $ ________
Dinner $25.00 ___________________________ $ _________
Grilled Shrimp Brochette ___ Chicken Francaise ________
Total Enclosed __________________________ $ ____________
Mail Reservations and payment to:
Irwin Wagman
2470 East Avenue, Apt 607
Rochester, NY 14610 Deadline: May 31, 2010

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