CEBA • Award Event Reservations

Event Reservation Form

There are three easy ways to reserve seats:

ON-LINE RESERVATION REQUEST FORM

20th Annual Awards Event—April 12, 2012, 11:45 a.m.
$50 per seat/$400 per table of eight, includes lunch—details

*Please reserve seats (per person pricing):

number of seats

Please reserve corporate tables of eight :

number of tables

Check here if you would like a local high school or middle school student, invited from various organizations, to sit at your table.

*Name:

Company:

Address:

City:

State:

Zip:

*Telephone Number (daytime):

*Email

*Denotes required field