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AWC logo Program reservation for June 2002

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Use this form to make your reservation for the 18 June 2002 program.

Sponsorship reservations are also available.

For e-mail, fill in the form and click on Send reservation. For U.S. postal-mail, print this form then fill in the requested information and send the form to the address given below. No-shows will be billed.

Note: Reservations must be received by end of day, Friday, 14 June 2002. If you reserve, refreshments will be ordered for you. If you RSVP and then cannot attend, please call 202-973-2136 by 5 p.m., 14 June 2002, to cancel.

Required field indicates a required field.

RSVP: Yes, I look forward to attending the program on 18 June 2002.
Your contact information: Name:

Title:

Organization:

Day Phone:   Fax:  
Evening Phone:  
E-mail:  Required field
Contact preference: E-mail Day phone Evening phone Fax
Membership status:
Interest in Ad Placement:

I am interested in placing an ad in the Matrix program book:
Business Card - $25
1/4 Page - $50
1/2 Page - $75
Full Page - $125

Payment calculation: Please reserve the following number of seats under my name at the following rates :
 
No. of
Seats
Rate
AWC-DC Member
$55
AWC-DC Student or
Retired Member
$45
Nonmember
$75
Total
Method of Payment: Check (made payable to AWC-DC)
Mastercard  Visa  American Express
Cardholder's Name
Account Number

Expiration Date
Additional comments: (any special dietary requirements, names of everyone in your party):

This form is processed on a secure server. All information submitted is encrypted.

If your browser doesn't support forms, please contact Lynn Osborne at awcdcprograms@aol.com or 703-241-2121 (work) 703-237-2837 (fax).

Please print out and enclose a copy of this filled in form along with your check. Make checks payable to AWC-DC and mail to AWC Headquarters, 780 Ritchie Highway, Suite S-28, Severna Park, MD 21146.

CalendarJune Matrix Program

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