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AWARDS LUNCHEON CHECK PAYMENT

Thank you for your interest in attending the NAWBO-Indianapolis sixth annual awards and holiday luncheon, Celebrating Women presented by American Family Insurance, on Wednesday, Dec. 16, 2009, at the Indianapolis Marriott Downtown.

Since you have chosen to pay by check, please complete the form below. Keep in mind only five individual seats may be purchased. Groups of six or more wanting to sit together must purchase a Sponsor Table.

 YOUR NAME 

 YOUR COMPANY

 YOUR MAILING ADDRESS (including city, state and ZIP)

YOUR DAYTIME PHONE NUMBER

 YOUR E-MAIL
MUST BE VALID OR YOUR REGISTRATION WILL NOT BE RECEIVED

INCLUDING YOURSELF, PLEASE INDICATE NUMBER OF ATTENDEES FOR WHOM YOU ARE PURCHASING SEATS
 Member(s)
 Corporate Partner(s)
 Non-Member(s)
 Student(s)
 Active Military

PLEASE SUPPLY THE NAMES OF ATTENDEES (PLEASE SEPARATE NAMES BY COMMAS)

SUBMIT COMMENTS OR SEATING PREFERENCE (IF APPLICABLE)

Upon clicking Submit, you will be directed to a confirmation webpage that includes payment information. If are not directed to the confirmation webpage, your request was not received; therefore, please re-submit your request.



If you have any questions, e-mail Check Payments or if you have decided to submit your payment online, click here.
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