My Suggestion:
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______________________________________________________________________

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continue on the back if necessary

Is your suggestion related to:
Facility □   Café or Coffee Bar □
Existing Program: CFS □   LAS □  CREW □   BRN □  Other □
New Program  SIG □  Event □  New Course □

Your Name _________________________________      Date _____________

Your e-mail address __________________________

Your Phone Number __________________________

Are you willing to participate in the realization of your suggestion? YES□ NO□

Your suggestions are welcomed and will be carefully reviewed by the appropriate committee member(s).

I would like to receive a formal response by:
e-mail (preferred)□       phone □    mail□

For mail response please confirm your mail address below:

           _____________________________

           _____________________________

           _____________________________