Member's Name ______________________________________________________________________________
Additional Name ______________________________________________________________________________
CMSI#__________ Email Address _______________________________________________________________
Street Address _______________________________________________________________________________
City _______________________________________________________ State_________ Zip _______________
Number of Adults Attending: _________________ Number of Children Attending: _________________
Number Attending:___________ @ $25.00 = $___________ (To attend the meetings you must be registered)
Number Adults:_____ @ $35.00 = $________ Number Children (12 and under):_____ @ $13.00 = $________
Host Hotel: Ramada by Wyndham Tampa Airport Westshore
1200 N Westshore Blvd
Tampa, Florida 33607
(813) 302-7891
Will you be staying at the Ramada Inn, Tampa, Florida (Host Hotel)? ❏ Yes ❏ No
Mail your check and this completed form to:
Make all checks payable to CMSI
Karen Luster, Treasurer
6679 Clarks Meadow Dr
Bealeton, VA 22712 USA
Form Last Updated: February 26, 2022