Early Registration by 11/1/09 - $90.00, $50 each for up to 3 additional registrants
Registrant's Name		Title
1st Additional		Title
2nd Additional		Title
3rd Additional		Title
			Total Registration Fee
School Name
Address		City, State		Zip code
Email		Phone
Monday Lunch	Enter NUMBER of Meals		Tuesday Breakfast	Enter NUMBER of Meals
Lunch Buffet			Breakfast Buffet
Kosher Buffet			Kosher Buffet
Monday Evening Dinner with the NYS Board of Regents is optional at $32.00 per person
			$32.00 per person
		of meals
	Steak Au Poivre	0 1 2 3 4
	Chicken Mediterranean	0 1 2 3 4
	Vegetable Wellington	0 1 2 3 4
	Filet of Salmon	0 1 2 3 4
	Kosher	0 1 2 3 4
	Total Registration Fee
	Total Monday Evening Dinner fee
	Total Payment

You will be asked to enter the Total Payment on the next set of screens. Be sure to write down or remember this number.