Fall Representative Assembly Luncheon Registration

2019 Order Form

Sat., Nov. 23, 2019

Luncheon

At the lunch on Sat., Nov. 23, we will be honoring the Leila Medley Quality Local Association Award winners and recognizing Missouri NEA's minority participation. You may purchase tickets online with a credit card or check made payable to Missouri NEA.

Entrées are served with a mixed greens salad with tomato, cucumber, shredded carrot and Ranch dressing. Lunch also includes your choice of carrot cake with cream cheese icing or Snickers cheesecake. Beverage service includes coffee, hot tea or iced tea. The cost of each meal is $35, which includes tax and tip. Choose from the following:
  • Romano Encrusted Chicken Breast with tarragon demi-glace
  • Roast Pork Tenderloin-marsala sauce and mushrooms
  • Pasta Primavera with House sauce, sun-dried tomatoes, peppers, mushrooms and asparagus

If ordering lunch tickets for several people, provide the name and entrée choice for each individual. Lunch tickets will be distributed with delegate credentials at the R.A. Lunch tickets for non-delegates may also be picked up at the credentials table. All lunch reservations must be received by Wed., Nov. 13.


Questions about the hotel and lunch reservations for the Fall R.A. should be directed to Pam Koetting ((573) 644-9601), and questions regarding delegates should be directed to  Roxane Bly ((573) 644-9623).


YOUR REGISTRATION IS NOT COMPLETE UNTIL YOU HAVE ENTERED YOUR PAYMENT INFORMATION AND RECEIVED A CONFIRMATION.

 

Participant Information - Page 1 of 3

* denotes field is required.

Contact Information

  First Name*
  Last Name*
  Email Address*
  Address
  City
  State
  Zip Code
  Home Phone Number*
  Alternate Phone Number
  Local Association/School District*  
 

MNEA Role Category

 
  Handicapped/Special Accommodations?  
  Dietary Restrictions/Allergies?  
       

Luncheon Ticket Order 

 
Romano Encrusted Chicken Breast-tarragon demi-glace
# of tickets*
 

$35.00 each
Full name of person(s) ordering chicken

 
Roast Pork Tenderloin-marsala sauce and mushrooms
# of tickets*

 $35.00 each
Full name of person(s) ordering chicken

Pasta Primavera-House sauce, sun-dried tomatoes, peppers, mushrooms and asparagus
# of tickets*

$35.00 each
Full name of person(s) ordering the vegetarian meal.


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