To: The Engineers' Council

I/we will participate in The Engineers' Council National Engineers Week Honors & Awards Banquet, in Universal City, CA.

Number of tables needed (10 seats per table)   and/or   Number of additional seats needed

Total dinner seating cost	$US
Additional contribution to subsidize attendance for engineering students and student award winners	$US
Total cost	$US

Planned Method of Payment Personal Check Company Check Money Order

Payment Information
After completing your contact information below and submitting this form, you may mail your payment directly to Council Treasurer Dr. Charles Volk, 15303 Ventura Blvd., Suite 1040, Sherman Oaks, CA 91403 (please print the completed form and include a copy with payment).

An invoice will be sent to the Email or U. S. Mail address provided below (request FAX transmittal in the Comments section, if needed).

Payment should be received by February 8, 2010.

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Please provide your contact information

Privacy Policy: The Engineers' Council will never share this information with any other entity, but we may use it to inform you of other Engineers' Council and The Engineers' Council Affiliates activities that may be of interest to you.

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Additional Comments:


You will receive an invoice for the total amount due at the address provided above. Please remit payment by February 8, 2009.

Submit Form:

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Last updated:  9/26/2009