Professor Registration Form:

Please fill out the information below.

• E-mail questions to byronman@uiuc.edu.

Name:
Address:
Phone Number:
E-mail Address:
Would you be willing to provide housing accomidations for students in other HKN chapters?

Saturday Evening Banquet Meal Choices:

A) Herb Stuffed Breast of Chicken, Pan-Roasted and served with Lyonnaise New Potatoes, Sautéed Green Beans and Poultry Jus
B) Grilled Mirin Glazed Salmon with Sautéed Asparagus, Roasted Red Onions, and Shiitake Mushroom studded Cous Cous
C) Herb-Crusted Prime Rib with Horseradish Mashed Potatoes and Sautéed Vegetables
D) Vegetarian Plate du Jour available upon request

Vegetarian meal preference?	Banquet Meal Preference
	A B C D