Please describe the type of event you would like to have (e.g. breakfast, lunch, reception, meeting, etc):

Official title of event (for registration book if applicable):

Preferred date (please circle):

Wednesday, July 21       Thursday, July 22       Friday, July 23

Time you would like to have event Begin:_________ End:_________

Will you need food and beverage service? (please circle) Yes     No

Location you would prefer (please circle)

Convention Center      Westin Hotel       Hyatt      Other

Your name:

Company/Institution:

Address:

Phone:

Fax:

E-mail:

Please fax or mail this form to

Lorena Nicholas
ASAS 99 Special Events
1111 N. Dunlap Ave.
Savoy, IL 61874
Fax: 217/398-4119

This form MUST be returned by March 1, 1999.