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Fall 2004 MichALL dinner reservation form

Name:

Institution:

Address:

Telephone number OR e-mail:

Please enclose a check for

• members: $25.00 (MichALL is covering gratuity and tax
• non-members: $30 (If you wish to join MichALL, $5.00 will count toward the $15.00 membership dues for 2004/2005)

Make check payable to MichALL and mail check along with this completed reservation form by October 29, 2004 to:

Barbara Bonge
Michigan Court of Appeals
925 West Ottawa Street
PO Box 30022
Lansing, MI 48909