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Sigma Xi reservations - November 2017
Tuesday, November 14, 2017
6:30 pm - Networking, pizza and a beverage
7:15 pm - Induction ceremony
7:30 pm - Program
St. Ambrose University, Davenport, Iowa
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First name
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Last name
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email
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Affiliation
Examples: St. Ambrose, Augustana, Deere, WIU, Retired, Visitor, Parent, or leave it blank. This will be the second line of your name tag.
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Area
Examples: Physics, Biology, Computer Science, Neuroscience, the department you teach in, your major, or leave it blank. This will be the third line of your name tag.
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Membership
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Meal choice
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Indicate your intention of having free pizza and a beverage by saying "yes". Otherwise say "no" if you plan to eat before you come.
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Local dues
As a current Sigma Xi member (active or inactive) you may wish to support the activities of the John Deere Chapter by paying the $8 local dues. Some of you have already paid these dues as an option on the annual membership invoice you received from the national office. Thank you!
a - I have already paid my $8 dues
b - I will pay $8 at this meeting
c - I will send an $8 check made out to "John Deere Chapter of Sigma Xi" to our treasurer, Shara Stough
d - I am currently not an active member but will pay $8 for my pizza when I arrive
e - No charge - I will eat before the event
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