University Events Office
Asian Heritage Awards Gala Registration
Registration
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University Events Office
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Asian Heritage Awards Gala Registration
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Registration
Yes! I want to hit a HOME RUN FOR HEROES at NEIU!
First Name:
Last Name:
Company:
Affiliation to NEIU:
Please Select
Alumnus/a
Faculty
Staff
Friend
Parent
Student
Retired Faculty/Staff
Email Address:
Billing Address:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code:
Phone Number (including area code):
Yes, I plan to attend.
Sorry I can't make it, but I wish to make a contribution to the NEIU Foundation's Tom Dalof Heroes Fund.
Select Package:
Please select
Discount Admission - Students and Children under 12 years old ($5.00)
Regular Admission ($10.00)
Admission and Ballpark Lunch for two ($75.00)
Admission, Ballpark Lunch for two, name in the program ($125.00)
Admission, Ballpark Lunch for two,name in program and Dalof plaque at NEIU ($250.00)
Quantity:
Please select
1
2
3
4
5
6
7
8
9
10
11
12
Please type the name(s) of additional guest(s).
Additional donation amount:
My contribution amount to the NEIU Foundation's Tom Dalof Heroes Fund is:
