Event top page/ Talk Abstract/ John I. Brauman Biography/ Saul Winstein/ Reservation form

 

The Second Annual Winstein Talk, Reception and Dinner

February 3, 2005

RSVP for the February 3, 2005 Winstein Banquet

I/we want _____ tickets for the (reception, dinner)
at $ 60 each ($30 is a tax-deductible gift)
Total enclosed $________

__Enclosed is my check payable to The UCLA Foundation (fund #)
__I prefer to pay by credit card: ___M/C ___Visa ___Discover
Credit Card #________________________ Exp. date___________
Authorized Signature_____________________________________

Name: _____________________
Address: _____________________
Phone: _____________________
E-mail: _____________________

RSVP to:

Alice Ramirez, Event Coordinator

 Mail checks and RSVP to:

University of California, Los Angeles
Department of Chemistry & BIochemistry
607 Charles E., Young Drive East
Los Angeles, CA 90095-1569
Attn Alice Ramirez

 Fax reservations to 310-206-3722 Attn Alice

Call in reservations to Alice Ramirez: 310-206-1036

email alice@chem.ucla.edu

Checks and RSVP forms with credit card info can be accepted at the event, but please notify Alice that you'll be coming and your entree preference by January 28!


Please reply by (January 28 or ASAP)

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Appeal Code ( LSO13 )