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2015FallShotcreteEMag

Eleventh Annual ASA Outstanding Shotcrete Project Awards Banquet Registration Form Join us in celebrating another year of membership success and in recognizing our project award recipients. Submit one form per attendee by January 15, 2016. We look forward to seeing you in Las Vegas! Banquet Information: Location: Vdara Hotel and Spa, Las Vegas Vinoly Ballroom Date: Tuesday, February 2, 2016 6:00-7:00 p.m. Registration, networking, cocktails, and hors d’oeuvres 7:00-11:00 p.m. Plated dinner and awards ceremony, followed by cash bar networking reception. Attendee Information: Name__________________________________ Company __________________________ Address _____________________________________________________________________ City __________________ State ______ Zip ________ Country ____________________ Phone_______________________________ Fax____________________________________ E-mail ______________________________________________________________________ ❑ Early-bird registration due date: January 15, 2016 ($95-pp) ❑ Preregistration: January 16 - February 1, 2016 ($150-pp) Preregistration before 2/1/2016 is encouraged, as only a limited number of seats will be available at the door. (February 2, 2016: $175-pp) Online registration is now available! Visit www.shotcrete.org/BanquetReg. ❑ Vegetarian or other special dietary needs ________________________________________ Payment Information: ❑ Check (U.S. $) ❑ MasterCard ❑ Visa ❑ Cash Credit Card #___________________________________________ Exp. Date_____________ Name on Card ________________________________________________________________ Signature ____________________________________________________________________ Become an ASA Banquet Sponsor: ❑ “Big Shooter”—$5000.00 ❑ Gold—$2500.00 ❑ Silver—$1000.00 ❑ Bronze—$500.00 38800 Country Club Drive • Farmington Hills, MI 48331 Phone: (248) 848-3780 • Fax: (248) 848-3740 • E-mail: info@shotcrete.org • Website: www.shotcrete.org


2015FallShotcreteEMag
To see the actual publication please follow the link above