TICKET/TABLE SIGN-UP FORM ANNUAL

TICKET/TABLE SIGN-UP FORM
ANNUAL BANQUET 2004

Ticket/Table Purchase: Tickets are $150; tables of 10 are $1500; half tables of five are $750.

Firm/Host Name:	________________________________________________________
	Would like to purchase ____ ticket(s); _____ table(s).

Guests:	________________________________________________________
	________________________________________________________
	________________________________________________________
	________________________________________________________
	________________________________________________________
	________________________________________________________
	________________________________________________________
	________________________________________________________
	________________________________________________________
	________________________________________________________

Payment Information:
Checks should be made payable to the BADC Foundation.
You are eligible to deduct a portion of your contribution from your taxes due to the Foundation's 501(c)3 status as allowed under applicable Federal, State and Local law. The Foundation will provide you with a receipt for your contribution.

______ I have enclosed a check.
______ Please charge my credit card.
_______ AMEX _______ VISA _______ MASTERCARD
Card number: ____________________________ Exp. ______

Signature __________________________________________

Contact Information:
Company/Firm/Organization Name:
____________________________________________________________________________________________
Contact: ____________________________________________________________________________________
Address: ____________________________________________________________________________________
____________________________________________________________________________________
City: ________________________ State: ________________________ Zip: ________________________
Phone: ________________________ Fax: ________________________ Email: ________________________

Please mail or fax this form to:

The BADC Foundation
1225 19th St NW
Suite 800
Washington, DC 20036
Fax: 202-293-3388

Payment Information:
Checks should be made payable to the BADC Foundation. You are eligible to deduct a portion of your contribution from your taxes due to the Foundation's 501(c)3 status as allowed under applicable Federal, State and Local law. The Foundation will provide you with a receipt for your contribution.
______	I have enclosed a check.
______	Please charge my credit card.
	_______ AMEX _______ VISA _______ MASTERCARD
	Card number: ____________________________ Exp. ______

	Signature __________________________________________

Contact Information:
Company/Firm/Organization Name:
____________________________________________________________________________________________
Contact:	____________________________________________________________________________________
Address:	____________________________________________________________________________________
	____________________________________________________________________________________
City:	________________________	State:	________________________	Zip:	________________________
Phone:	________________________	Fax:	________________________	Email:	________________________