Halton Business Hall of Fame Induction and Ceremony Dinner
"Our Youth … Learning today, leading tomorrow"
DATE:
Thursday May 17, 2001
For more information call 905-637-7200, fax, 905-637-5823 or e-mail [email protected]
Sponsored by: Bell Canada
ORDER FORM
(Please return by fax to 905-637-5823)q Please reserve ___ tables or ____ tickets
q I cannot attend, but please accept my contribution of $ _____ to support the education of youth.
(Tax receipt will be issued for amount of this donation.)
q Yes, I will host ___ Junior Achievement students at my table.
Contact Name: ____________________________________________________________________________________
Company: ________________________________________________________________________________________
Address: ________________________________________ Postal Code:_____________ Province: ________________
Phone: ___________________ Fax: _________________ E-Mail: ___________________________________________
q I have enclosed a cheque. q Please invoice me.
Please charge the total of $ _______ to my q Visa q MasterCard q AMEX
Name on Card: ____________________________________________________________________________________
Card No.: __________________________________ Expiry Date: ___________________________________________
Signatire: _________________________________________________________________________________________
Please RSVP by May3, 2001