2024 Scientist of the Year Celebration
Reservation Form (Deadline April 19, 2024)
Name
*
First Name
Last Name
Suffix
Email
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Company, University or Foundation
Number of Reservation(s) at $225 per person
Please Select
0
1
2
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5
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8
Fair market value received per reservation $100
I would like to sponsor ____ ARCS Scholar(s) at $225 per person
Please Select
0
1
2
3
4
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8
Fair market value received per reservation $100
I would like to make an additional contribution to the ARCS Scholar Award Fund in the amount of $
I would like to underwrite a portion of the SOY event in the amount of
$2500
$1000
$500
Other
If you are registering with guests, please click the button below and enter the Name and Email address for each guest so that we may print nametags and email them any event updates. If you have any question, please contact Ingrid Benirschke-Perkins at 619-933-4516 or ibenirschke@gmail.com
TOTAL AMOUNT $
Total Includes Processing Fee
TOTAL AMOUNT
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