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Unlocking the Mysteries of the Brain
Algonquin Club, Boston

 Reservation Request

This event is open to members of the Oxford and Cambridge Society of New England, Inc. and their guests and members of the Algonquin Club.  To reserve places, please complete and return this form together with a check for the total amount, payable to Oxford and Cambridge Society of New England, Inc.  Non-members, who are not guests of members, please add $20 ($5 for fulltime students) for membership in the Oxford and Cambridge Society.  

Deadline for reservations: Friday April 18th, 2014

Please mail to:

                Dr. Belinda Wilkes, Reservations 
                25 Parish Rd
, Georgetown, MA 01833

Please note: Hors d'Oeuvres, first drink and dessert and coffee are included in the price.
_________________________________________________________________________________________________

Spring Event, Friday 25th April 2014
Algonquin Club, Boston

            Please reserve _______ place(s) for me @ $40 each ($30 for student members)                                    

Total enclosed $ _______

            Name: ______________________________________________

            College: ____________________________________________

            Street Address: ________________________________Daytime Phone:_____________

            City/State/Zip: ___________________________________________________________

            Email Address:___________________________________________________________

Guests and Colleges, if applicable____________________________________________

Number of Grill Room Dinner Reservations (not included in price)___________________