May 25, 2022 | CITR Meeting Registration
The Amsterdam Hotel, Pella, Iowa
Your Name
*
First Name
Last Name
Organization/Business Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Select the number of people you are registering
prev
next
( X )
Meeting Registration - $20/person. All registrations due by May 17
If you are registering multiple attendees you will provide name(s) AND lunch selection(s) below.
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Lunch Selection - Choose One
*
Grilled Pork Chop de burgo - a 6 oz bone in chop with de burgo sauce
French Dip Sandwich - classic shaved prime rib sandwich with au jus
Baked Walleye - with a spicy remoulade
If you are registering multiple attendees, provide the name(s), organization(s) and LUNCH SELECTION(S) for these here
Note any special dietary requests below (if applicable)
Submit
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