October 12, 2011 - 37th Annual Eagle Awards Dinner
Hyatt Regency New Brunswick, 2 Albany Street, New Brunswick, NJ
Reservation Form
R.S.V.P. by completing the form below.
You can either send it via the web, or print it out and fax to the Alliance for Action office, (732) 225-4694.
We now accept credit card payment through PayPal Here. PayPal is very secure and you do not need an account to use the service.
If you have any questions please call (732) 225-1180.
 
Eagle Awards Dinner    Individual Tickets $350
Table of 12 $3,900
Cocktails at 5:00 p.m.    Dinner at 6:30 p.m.
Name
Title
Company
Address
City
State
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Phone Number
Fax Number
E-mail Address
                         YES, I will attend.     Please Reserve Registrations
        Dinner Journal:
        We would like to reserve a Full Page   Half Page   Quarter Page
NO, I am unable to attend this event.
Please keep me advised of your activities.
        
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