GALA AWARDS BANQUET RESERVATION FORM

Mail To: ANN STERNER, AWARDS BANQUET CHAIRPERSON
Ann Sterner, 7160 Revere Place, Gilroy, CA  95020

 Send reservations together for those who wish to sit together - Tables of 8 - $34.00 per ATTENDEE

ATTENDEE NAME

(1)_______________________________________________________$34.00

 (2) _______________________________________________________$34.00

(3)_______________________________________________________$3400

(4)_______________________________________________________$34.00

(5)_______________________________________________________$34.00

(6) _______________________________________________________$34.00

(7)_______________________________________________________$3400

(8)_______________________________________________________$3400

                                           TOTAL AMOUNT ENCLOSED   $___________________

(US FUNDS ONLY. MAKE CHECK PAYABLE TO AHCA)

RESERVATIONS RECEIVED WITHOUT PAYMENT CANNOT BE PROCESSED