College Award Registration

A total of 2 guests (including members of the winning student's family or friends, additional faculty or their guests) may be registered per student winner. All guests must pay in advance for dinner. No refunds will be given after this reservation is made.

Vegetarian items will be available.

FILL IN THE FOLLOWING INFORMATION & SUBMIT THIS FORM
(Please do not fill the form out more than once - it just creates unnecessary additional work!)

Your Name:*

Your email address:*

Guests of (winning student's name):*

Student's College/University:

List the names of everyone you are making dinner reservations for and indicate whether they are members of ACS or Guests.*

Rows	Name	Guest type (student invitee/additional faculty/other guest)
1
2

How many Dinners are you reserving & paying for?*

Make sure you enter the number of dinners to be reserved and paid for in the "Quantity". field below

Credit/Debit cardholder's email address:*

(Enter the email address of the person whose card will be used for payment. This is required to help match your payment with your student.)

Print the PayPal Receipt after you have paid and bring it to the check-in table at the Awards Dinner.

For questions or concerns, please contact Dr. Allison Gotoh at ocacs.reservation@gmail.com.

Date:

Date

PAYMENT SECTION*

OCACS College Awards Dinner$35.00

Dinner reservation

Quantity

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Members & Guests