EXHIBIT TABLE RESERVATION FORM
Name: ___________________________________________________________________________________________
Title: ____________________________________________________________________________________________
College/University: ________________________________________________________________________________
Address: _________________________________________________________________________________________
City: ________________________________________ State: ________ Zip: ______________
Email: ___________________________________________________________________________________________
Phone: ______________________________________________ Fax: ______________________________________
The following people will be attending the student celebration on April 8:
Same as above.
1. Name: _______________________________________________________________________
Title: _________________________________________________________________________
Email: _______________________________________________________________________
2. Name: _______________________________________________________________________
Title: _________________________________________________________________________
Email: _______________________________________________________________________
STUDENT AWARDS LUNCHEON
& COLLEGE FAIR
FOR ASPIRING JOURNALISTS
PNA FOUNDATION
PAYMENT
We are a PNA Member
Our cost is $25............. $ _________
We are not a PNA Member
Our cost is $150............ $ _________
If you are interested in saving $125, please contact Mary
Firestone, PNA’s Manager of Meetings and Member Services,
at maryf@pa-news.org or (717) 703-3069, as to how you can
become a PNA member.
We plan to attend the awards luncheon.
# attending ______ x $35..... $ _________
GRAND TOTAL ............... $ __________
CHECK IS ENCLOSED.
Make checks payable to PNA Foundation
CHARGE MY CREDIT CARD
(VISA, Mastercard, Amex)
Card Number: _____________________________________
Expiration Date: _____________
Security Code: ______________
Exact Name on Card: _______________________________
Billing Address: Same as above
Address: _________________________________________
City: ____________________ State: _____ Zip: _______