20th Anniversary NCCAR
Dinner – Response coupon
Number
of tickets @ $200 per ticket ($150 for members only)
________ = $_________
Number of tickets @ $70
Number
of tables @ $1,400 per table
________ = $_________
Tables include 8 tickets, Name of the company on the table
Official
sponsorship @ $1,000 per package
________ = $_________
Name of the company on the program, Name of the company on a sign at the
entrance
Do
you require vegetarian meals _________
if yes number
_________.
Do
you require a non-alcoholic table _________.
A portion of the cost of your ticket is tax deductible
PAYMENT BY CREDIT CARD CAN BE MADE:
Please fill in the
information.
Name on the
credit card: _________________________________________________
Bin number
(slightly above or below the embossed card number):
____________
Credit card
number:
_________________________________________________
Date of expiry:
_________________________________________________
Address:
_________________________________________________
_________________________________________________
_________________________________________________
Telephone
number:
__________________________________________________
Type of Credit
Card (Visa, MasterCard):
______________________________________
Cheque payment can be made for the whole amount and paid to
"NCCAR. Make a note on the
chqeue that it is for the "NCCAR Dinner"
SEND THIS RESPONSE COUPON AND PAYMENT TO:
Or Fax to: 613-235-9185
________________________________________________
Name
of Company:
_________________________________________________
Address:
_________________________________________________
_________________________________________________
Telephone,
fax & email:
__________________________________________________
_________________________________________________