2010 Conversity Reception RSVP Form

Please RSVP by 12:00p.m. on March 22, 2010

You will have the option to make an online payment by Paypal or send a check to APADRC after submitting this RSVP form.

Name: *

Company:

Address: *

City: *

State: *

Zipcode: *

Phone: *

Fax:

Email: *

Tickets

General - $75 each. Please enter the number of tickets:

Students - $35 each per student (with proof of ID). Please enter the number of ticket(s):

Please attach a copy of your guest list.:

Adsize

Choose an Ad Size:

Full Page - $500; 7.5" x 10"

Half Page - $250; 7.5" x 4.875"

Quarter Page - $150; 3.625" x 4.875"

Please email all ads in PDF format to conversity@apadrc.org by March 17, 2010.

In-Kind Donation

Silent Auction (gift baskets, items, or gift certificates):

Yes

Youth Scholarship

I / We would like to donate to the youth scholarship. (options for levels are $1,000, $500, $100 or any other amount): $

I / We will be unable to offer sponsorship at the levels above but would like to make a donation in support of APADRC's Conversity Awards Reception.: $

Sponsorship

Choose a sponsorship level below.:

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PAYMENT CENTER

Use PayPal to make payments for services or the Conversity Awards Reception.

CONTACT US

Hours of Operation
Monday - Friday
9:00am to 5:00pm

Open weekends & evenings by appointment only

Phone: (213) 250-8190
Fax: (213) 250-8195

E-mail: apadrc@apadrc.org

1145 Wilshire Blvd., Suite #100
Los Angeles, CA 90017
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