2009 Philps-Form

For more information email calpacs@chem.ucsb.edu or go to the CALPACS website www.chem.ucsb.edu/~calpacs.

Please return the form below with your payment by Friday, February 6, 2009

______________________________________________________________________________________________________

Please RSVP with Payment to: Name(s) of Attendees Student? Meal Choice*

Dept. of Chemistry and Biochemistry _________________ ______ _________________

University of California _________________ ______ _________________

Santa Barbara, CA 93106-9510 _________________ ______ _________________

Please provide contact email or phone # _________________________ Amount Enclosed:__________

*Entrée choice: Baked Lamb Shank, Grilled Salmon, or Eggplant Parmesan;