Awards Dinner Reservation Form

2017 Recognition Dinner

Friday, May 5, at 6 p.m., Hyatt Valencia


Name:
Address:
Telephone:
Email:
Individual Reservations: ($125 Each)
Table Reservations: ($1,250 Each)
Includes table of 10
Premium Table Reservations: ($1,500 Each)
Premium Table includes 10 seats, company name on table, full-page ad in Program Book.
Camera Ready Ad Due 04/15/17
Table Guest Names:
Please get your reservations in early, seating is limited and will be assigned on a first-come, first served basis with premium tables available

Consider placing a Program Ad to congratulate your nominee with a “note of appreciation” for all they do.

1/4 Page Ad $125:
1/2 Page Ad $250:
Full Page Ad $500:
Camera-ready ads and “notes of appreciation” are due by April 15, 2017, and may be emailed to akovach@insidescv.com
Submit this form for a printable page that you can mail to:

Wayne Crawford
16164 Sierra Hwy
Santa Clarita CA 91390

waynescc@socal.rr.com

Make check payable to: SCV Man and Woman of the Year

More info: mwoy@hometownstation.com

Credit card information can be included on the printed page.