Service Recognition Banquet Form

Banquet Reservation Form
Please respond by October 19, 2009.

Note:

This form should be used by anyone who wishes to attend the banquet who is not an honoree. Honorees plus one guest attend the banquet free-of-charge, and will receive a separate invitation from Staff Human Resources with an RSVP card enclosed.

You may return this completed form electronically and send your personal check or if paying from a University account, complete the C-FOAPAL information at the bottom of this form.
(Please be sure to indicate clearly who your reservation is for if you are sending payment separately. No reservations are final until payment has been received.)

You may print and complete this form and return it with your personal check to the address listed below.

Please list below the personnel from your department who will attend the
2009 Service Recognition Banquet, Tuesday, November 10, 2009
in the Illini Union, Rooms A, B & C.
The dinner and program will begin at 6:00 p.m.

Please give first and last name, so that name tags can be prepared.

Name	Department	Phone

If you are attending the banquet to honor a long-time service employee or a retiree, please list the name(s) in the boxes below.
Honoree
Honoree
Honoree
Honoree
Honoree

Do you need special accommodations or have special dietary needs? Please list them here:

COST: $28.50 for EACH reservation:

Personal check made payable to: University of Illinois: Enclosed Will follow in campus mail

If paying from University funds - Staff Human Resources will bill the C-FOAPAL account number listed below for the applicable banquet fee(s).

C-FOAPAL Chart:	(1 digit)
C-FOAPAL Fund:	(6 digits)
C-FOAPAL Origanization:	(6 digits)
C-FOAPAL Account:	(SHR will fill in this number)
C-FOAPAL Program:	(6 digits)
C-FOAPAL Activity (optional):	(6 digits)
C-FOAPAL Location (optional):	(6 digits)
Name of Authorizing Person:
Phone Number:

Reservation submitted by: E-mail address:

or
Send via campus mail to:

Athalia Hunt
Staff Human Resources, Rm. 136
52 East Gregory Drive
Champaign, IL 61820
MC-562
Voice: (217) 333-3101, Fax: (217) 244-7304