Member's Name _____________________________________________________________________________
Additional Name _____________________________________________________________________________
CMSI#__________ Email Address ______________________________________________________________
Street Address _______________________________________________________________________________
City _______________________________________________________ State_________ Zip _______________
Number:___________ @ $25.00 = $___________ (To attend the meetings you must be registered)
Number of Adults Attending: _________________ Number of Children Attending: _________________
Number___________ @ $25.00 = $___________
Will you be staying at the Hampton Inn, Chicopee (Host Hotel)? Yes ( ) No ( )
Make checks for registration and dinner payable to CMSI.
Mail your check and this completed form to:
Karen Luster, Treasurer
1905 Mountain Laurel Circle
Littleton, CO 80126 USA
Form Last Updated: June 20, 2025