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2010 Team NEO Economic Development Plus Awards Dinner

Wednesday, June 23, 2010
5:30 Networking Reception
6:30 Dinner & Program


NUMBER OF TABLES/SEATS

**For more information regarding event sponsorships or table sponsorships, please contact Jennifer Roberts at jroberts@ibmag.com or 216.377.3667.


NAMES OF THOSE IN MY PARTY**
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Additional Names
**Please call with any dietary restrictions

CONTACT INFORMATION
*Company Name
*Contact Name
*Address
*City
*State
*ZIP
Phone:
Fax:
*Email Address:



BILLING INFORMATION
(Name and address as it appears on your credit card statement)
*First Name
*Last Name
*Address Line 1:
Address Line 2:
*City:
State:
*ZIP code:



PAYMENT INFORMATION:
*Card Number:
*Expiration Date (mm/yy): -



CONFIRM IDENTITY:
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