Advancing education and professionalism while promoting Pacific Asia travel


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Incredible India!

Reservation Form

 

Wednesday, November 8, 2006

Registration Begins at 5:30 pm

 

Saagar

4248 Martingale Way
Newport Beach, CA 92660

 

Registration Information

 

Attendee:     ______________________________________________

 

Attendee:     ______________________________________________

 

Company:    ______________________________________________

 

Address:      ______________________________________________

 

City/State/Zip:  ____________________________________________

 

Phone:         ______________________________________________

 

Email:          ______________________________________________

To Pay Online:

* Print and complete this form
* Fax it to: 888/840-6230
* Click the appropriate button

To Pay By Check:

 

* Print and complete this form

 

* Mail it to:

Monica Poling, OC PATA
1850 N. Whitley Ave. #404
Hollywood, CA 90028

 

* Enclose your check, payable to OC PATA

 

Questions???

 

Voice mail/fax: 888/840-6230