You may fax this form (no cover sheet is needed) to Linda Smallbrook (302-831-3372)
Receptions are scheduled to be held in Ballroom A/ B on the third floor in the
Convention
Center on December 28th (8: 00 p. m. to midnight) and December 29th (9: 00 p.
m. to midnight).
The Saturday night reception provides beer and soft drinks at no charge. Admittance
is by registration
name badge or spouse/ significant other ticket only. The Sunday night reception
is a cash bar.
Twenty-five dollars covers the cost to reserve a table for both receptions.
To reserve a table, please complete the following and return to
Linda Smallbrook, American Philosophical Association
31 Amstel Avenue
University of Delaware
, Newark, DE 19716
Phone: 302-831-1113; fax: 302-831-3372; or e-mail: lindas@udel.edu.
If you choose to e-mail your request, please make sure you include a complete
billing address.
Name: _________________________________________________________________
School/ Organization: _____________________________________________________
Address: ________________________________________________________________
_______________________________________________________________________
Office Phone: ____________________________ Fax: __________________________
Email Address: __________________________________________________________
Please select an option for payment:
____ check is enclosed made payable to APA Eastern Division
____ purchase order enclosed
____ please bill above name and address
____ please charge my credit card below( Mastercard, Discover or Visa only)
Please print legibly. ____ Visa ____ Mastercard ____ Discover
Credit Card Number: ____________________________________________________
Expiration Date: ___________ Cardholder: _________________________________
Signature: _____________________________________________________________
The deadline for receiving reception table requests is December 13, 2002. Reservations
received after that
date will not appear on the list distributed to attendees; however, they will
be posted at the entrance to the receptions.
For office use only:
_______ rt/ Dep _________/ CC/ CK_________ /Charged _________ / $ ________