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DEC 16 - CELEBRATION 55th ANNIVERSARY, AWARDS,& FOUNDATION FUNDRAISER
SPEAKER: DR. DEBBIE PHILLIPS - Dancing / Auction afterwards - Fundraising Dancers Spotlight
FINAL COUNTS DUE TO MAGGIANOS ON MONDAY THE 14TH AT NOON - HONOR SYSTEM LATE FEE ADDED OF $20
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*ATTENDEES EMAIL not necessarily the registrants E-MAIL:
Valid e-mail is required
First Name:
Last Name:
AFFILIATION, Partner, Designation or Membership Type:
Cell Phone#
*How did you hear about the event
Member
Partner
Board Leader
Deborah - IAE
Constant Contact
Member or Partner who encouraged you to sign up
I would like to be a one time volunteer - earn 10K IREM GA Bucks
Pre-paid Member / Sponsors
Choose your status
Academic
Associate
ARM
CPM Candidate
CPM
ACoM
Industry Partner Sponsors
SPEAKER
NON-MEMBER $100
Choose Rate
Non Member or Vendor $100.00
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IREM Foundation Donation - 3 Chances to win $10
Choose Rate
3 Tickets and a chance to win a Designer Handbag $10.00
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IREM Foundation Donation - 10 Chances to win $20
Choose Rate
10 Tickets and a chance to win a Designer Handbag $20.00
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12/14 - LATE REGISTRATION $20
Choose Rate
20 Fee $20.00
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MOST REGISTRATION OPTIONS - ANYONE WITHOUT PRE-PAID $75 (Members, Partners, Associates, AMO Employees)
SELECT ONE
Member without pre-paid lunch $75.00
Partner Rate $75.00
Associate $75.00
AMO Company Employee $75.00
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FIRST TIME GUEST OF MEMBER OR PARTNER $75
Please include name and e-mail below
Please include name and e-mail below $75.00
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GUEST OF MEMBER OR PARTNER $80
Please include name and e-mail below
Please include name and e-mail below $80.00
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AMO Employee $75
Please include name and e-mail below
Please include name and e-mail below $75.00
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Board Member, RVP. Past President $65
Discounted Rate
Discounted Rate of 65 versus 75 $65.00
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Student $40
OPTIONS
Full Time College Student $40.00
Part Time College Student $40.00
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IREM FOUNDATION FUNDRAISER DANCING WITH THE STARS
FOUNDATION SOCIAL - DANCER FEE $1,000
OPTIONS
2 TO 3 MINUTE ROUTINE - MOST ANY STYLE $1000.00
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FOUNDATION SOCIAL - DANCER SPONSOR $1000
SPONSOR
4 ADMISSIONS AND 4 DRINK TICKETS - PHOTOS WITH DANCERS $1000.00
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I WANT TO SPONSOR THS DANCER (PLEASE TYPE IN THE NAME)-
Name of Guest or Partner Associate with e-mail
Name of Guest or Partner Associate with e-mail
Name of Guest or Partner Associate with e-mail
Name of Guest or Partner Associate with e-mail
Name of Guest or Partner Associate with e-mail
Name of Guest or Partner Associate with e-mail
Name of Guest or Partner Associate with e-mail
Name of Guest or Partner Associate with e-mail
Name of Guest or Partner Associate with e-mail
Grand Total:
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