Click here to PRINT this form, complete it - then mail it to the CMSI Treasurer (see below)

Registration for the CMSI Annual General Meeting
September 2-5, 2021
The Plains, VA

Member's Name _____________________________________________________________________________

Additional Name _____________________________________________________________________________

CMSI#__________ Email Address ______________________________________________________________

Street Address _______________________________________________________________________________

City _______________________________________________________ State_________ Zip _______________

Children Attending:    Yes (   )    No (   )     How Many _________________

Other Adults:              Yes (   )    No (   )     How Many _________________

Registration For CMSI Meetings

Number:___________ @ $25.00 = $___________      (To attend the meetings you must be registered)

Buffet Style Clan Dinner Friday, September 3, 2021
(Olive Garden)

Adults: Number___________ @ $29.00 = $___________

Children (12 and under): Number___________ @ $12.00 = $___________

Host Hotel: Hampton Inn — Manassas
7295 Williamson Blvd
Manassas, VA 20109
(703) 369-1100

Will you be staying at the Hampton Inn, Manassas (Host Hotel)?   Yes (   )    No (   )

The room rate will be $99.00 + tax per night. Make sure you tell them you are with Clan Montgomery or code: CLS to get this rate. Contacting the hotel by phone is the best way to guarantee you are getting the proper rate. Reservations must be made before August 5, 2021 to get the above rate.

You can also make a reservation online at
https://hamptoninn.hilton.com/en/hp/groups/personalized/M/MNZHAHX-CLS-20210903/index.jhtml, or you can go to http://clanmontgomery.org/agm.html and click the link for the Host Hotel.

Make checks for registration and dinner payable to CMSI.

Mail your check and this completed form to:
Karen Luster, Treasurer
6679 Clarks Meadow Dr
Bealeton, VA 22712 USA Form Last Updated: January 31, 2021