Spring Dinner 2012 – PayPal

NY-NJ Chapter MLA Spring Dinner 2012

To be held at:

Coogan’s Restaurant

4015 Broadway (Between 168th & 169th Street)

Thursday, June 14, Starting at 6:30 pm

For users of PayPal, we charge an additional $1.07 for current members and an additional $1.41 for new or renewing members to offset our PayPal transaction fee.

Membership Status:	Current Member $35.02 New or Renewing Member $50.36
Name:
Institution:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
Email:
Do you request a Kosher meal?* No Yes
Form and payment must be received by Tuesday June 12. *If requesting a Kosher meal, form and payment must be received by Thursday June 7.