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SMA's 58th Annual Banquet & Awards Presentation Reservation Form
Tickets will be held at the door.

Please mail this page with a check made payable to the Society of Midland Authors to:

Society of Midland Authors
P.O. Box 10419
Chicago, IL 60610

The Society of Midland Authors annual awards banquet will be held Tuesday, May 13 at the Cliff Dwellers Club, 22nd floor, 200 S. Michigan, Chicago.

The reception with a cash bar will start at 6 p.m. Dinner will begin at 7 p.m.

Paul Durica is the emcee.


Name:

Phone:

E-mail:

Number of medallions of pork tenderloin dinners at $75 each:

Number of vegetarian (wild mushroom ravioli) dinners at $75 each:

Number of grilled filet of salmon dinners at $75 each:

Donation:

Total: