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GOVERNOR'S INDUSTRY APPRECIATION LUNCHEON

All fields are required:
Name and Title:
Company/Organization:
Mailing Address:
City:
State:
Zip:
Phone:
Fax:
E-mail Address:
Number of Table
Reservations:
@ $400.00 per table of 10
Table reservation sign to read:
Number of Individual Reservations:
@ $40.00 each
Total amount remitted:

Payment:
Card type: (No American Express)
Account number:
Exp. Date: (mm/yy)
Name as it appears on card:

No tickets sold at the door.
Tickets mailed upon receipt of payment.
Tickets for reservations received after November 9th
will be held at the registration desk.
All ticket sales final - no refunds.
Tickets are transferrable.
For more information contact:
Judi Bishop
(775)687-4325
(800)336-1600
[email protected]





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