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WICT Benefit Gala Table Reservation Form

24th Annual WICT Benefit Gala
Thursday, November 20, 2008

TABLE RESERVATION INFORMATION

Reservation Deadline: October 17, 2008

CHAMPION TABLE @ $20,000.00
  • Table of 10 in the VIP section
  • Full-page color tribute ad in Souvenir Dinner Program
  • Listing in Souvenir Dinner Program
EDUCATOR TABLE @ $15,000.00
  • Table of 10 in the Preferred Section
  • Listing in Souvenir Dinner Program
SUPPORTER TABLE @ $12,500.00
  • Table of 10
  • Listing in Souvenir Dinner Program
INDIVIDUAL TICKETS @ $1,250.00 (each)
Number of tickets requested: 

Total Amount Due: $


Payment

Women in Cable Telecommunications
P.O. Box 791305
Baltimore, MD 21279-1305

Credit Card Type:
Credit Card Number:
Expiration Date:


Contact Information
Company Contact
For payment and ticket delivery
Name
Title
Company
Address
City
State
Zip
Phone
Email
Table Host
Name
Title
Company
Address
City
State
Zip
Phone
Email

For more information about the 24th Annual WICT Benefit Gala, contact kpayne@wict.org or call 703.234.9805.

To make your hotel reservation, please call the Hyatt at 202-582-1234. Mention WICT Gala for special Gala rate.

*Please note: WICT will not guarantee placement of tables for which payment is not received by October 29, 2008.