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2010 Summer Mixer Registration Form

Unilock Chicago 301 E. Sullivan Road, Aurora IL Wednesday July 15, 2010 4:00 PM – 8:00 PM

This will be a casual mixer with hors d’ oeuvres, a Texas-style BBQ, dessert, beer, wine, soda and bottled water. Transportation to and from the Aurora Metra station will be provided at no cost. Unilock will be doing plant tours. Next to each attendee please note if transportation is requested and/or if interested in a tour.

Name

Company

Address

City, State, Zip

Phone Email

Attendees - $25 each

1. Name Train/Tour 3. Name Train/Tour

2. Name Train/Tour 4. Name Train/Tour

5. Name Train/Tour 6. Name Train/Tour

7. Name Train/Tour 8. Name Train/Tour

 Please send invoice PO#  Payment by Visa, MasterCard, American Express

Card Number Exp

Name on Card

Signed Date

Return form no later than Monday, July 5, 2010 to: Beverly Nykiel ILASLA P.O. Box 4566 Oak Brook, IL 60522 630.963.5897 phone 630.963.5867 fax [email protected]

PLEASE HELP US GET THE WORD OUT AND PASS THIS ALONG TO YOUR FRIENDS, PEERS AND CO-WORKERS

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