AIA Orange County
   AIA ORANGE COUNTY - 35th Annual Awards of Excellence Reception - October 1, 2010
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2010 Awards of Excellence Reception
October 1, 2010
6:00 - 8:00 PM

Noguchi Sculpture Garden
Two Town Center
Costa Mesa

TICKET COST: $50, $75 AFTER SEPTEMBER 24
Please note, the deadline to purchase reception
tickets (by credit card or check) is September 29 by 5pm

This form must be submitted and the payment received by 5pm September 29, 2010
All fields with yellow background and asterix (*) are required.
Please provide the following required information in the form below:
  • Choose payment method: PayPal (Credit Card) or Check
  • First name of contact person
  • Last name of contact person
  • Email Address
  • Phone Number
  • The names of the person(s) for whom you are registering.

You will receive an automated reply with all the information that you provide in this form for your records at the E-mail address specified below.

Reservation to attend the Awards Reception:
Number of Persons (max. 8 per Reservation) @ $50.00
All payments are non-refundable Total
Payments can be made, after submitting this form, by PayPal (Credit Card)
or
Check made out to "AIA Orange County" and sent to
AIA Orange County
3000 Newport Boulvard, Newport Beach, CA 92663

Payment must be received by 5pm September 29, 2010 for a valid Reservation.

Payment Is:    by PayPal (Credit Card)     by Check
Contact Person:
First Name *
Last Name *
Firm/Company (required for firms)
Email *
Phone *
Please enter the names of all persons (including
contact person if attending)
included in this reservation:
Name Firm Member #
1:    * * *
Membership Level: AIA   FAIA   Assoc.   PAL   Int'l Assoc.   None
2:   
Membership Level: AIA   FAIA   Assoc.   PAL   Int'l Assoc.   None
3:   
Membership Level: AIA   FAIA   Assoc.   PAL   Int'l Assoc.   None
4:   
Membership Level: AIA   FAIA   Assoc.   PAL   Int'l Assoc.   None
5:   
Membership Level: AIA   FAIA   Assoc.   PAL   Int'l Assoc.   None
6:   
Membership Level: AIA   FAIA   Assoc.   PAL   Int'l Assoc.   None
7:   
Membership Level: AIA   FAIA   Assoc.   PAL   Int'l Assoc.   None
8:   
Membership Level: AIA   FAIA   Assoc.   PAL   Int'l Assoc.   None
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