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Cordially Invites You to the Event Gold Sponsors · # of Reservations ___ @ $65 per person Payment Enclosed ____ Invoice (Members Only) ___ _________________________________________________________________________________________ Company Name _________________________________________________________________________________________ Name(s) of Attendees _____________________________________________________________________ Charge to Visa/Mastercard *credit card payments will include an additional 4% convenience fee _________ ______________ Exp. Date _____________________________________________________________________________ Send to: HBR, 6100 W. Main St., Maryville, IL 62062 Ph 618.343.6331 Fax 618.343.6335 email: tbutler@hbrmea.org Cancellation will be accepted five (5) business days prior to Event. No refunds or credits will be allowed.

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