Historical Marker

Historical Marker Commemorating Asian Americans in US Civil War
Banquet - Registration form

April 26, 2003. 7:00 pm at Hyatt on Capitol Square (6:30 pm cash bar)

Last Name:_____________________First Name:__________________________
Corporation:________________________________________________________
Address:____________________________________________________________
City:________________________State__________________Zip_____________
Day Phone:(_________)________________Night Phone:(______)___________
Fax: ( )__________________________
Email: _____________________________________________________________

Item	Total
Corporate/group sponsors: (price per table) Platinum $5000 ___ Gold $3000 ___ Silver $2000 ___ Jade $1000___ Community (non-profit) $750 ___ Please fill in the number of tables reserved (10 people per table)
Advertisement : Full page $500__ Half page $300___ Quarter Page $200___ The program is a historical memorabilia that will be kept for years! Please include a copy of the photo-ready advertisement.
Individuals: OCA Member $50 ___ Students $50 ___ Non-Member $75 ___ (Please fill in the number of people)
I want to join OCA right now to enjoy the member's rate: Family $45___ Individual $25__ Student $15___
Other contribution. OCA is a 501(c)(3) tax-deductible organization.
Total amount:

How many regular meals:_____How many vegetarian meals:_____
Please make check payable to OCA-Columbus Chapter and mail with this form to:
OCA - Columbus Chapter
PO Box 20623
Columbus, OH 43220
(Registration and payment must be received by April 15, 2003)
C. Ping Chen, PhD oca@columbus.rr.com (event chair) (614) 890-4024
Grace Chen gchen53377@aol.com (banquet chair) (614) 793-3162
Theresa Lee ocacolumbus7@yahoo.com (chapter president) (614) 326-0888

Historical Marker Commemorating Asian Americans in US Civil War Banquet - Registration form

Historical Marker Commemorating Asian Americans in US Civil War
Banquet - Registration form