Dinner Reservation Form

ILLINOIS ACADEMY OF CRIMINOLOGY
56th ANNIVERSARY
SPRING INSTITUTE AND BANQUET
February 17, 2005
Cash Bar — 6:00 PM Banquet — 7:00 PM Lake Shore Room for Dinner

Make checks payable to Illinois Academy of Criminology. Dinner is $40.00 per person ($45.00 at the door). Please mail a check and this form to:

Illinois Academy of Criminology
P. O. Box 134
Lemont, Illinois 60439

Name:

Telephone number/s:

E-mail address:

Number in party:

  Price includes tax and gratuity. Cash bar. Drinks ordered from the bar are not included in the price.

  
Total enclosed: $_____________

Special requests, if any: