Contact
2008 Entry Form
Company
Address
City/State/Zip
Phone #
Fax #
Email
POSTMARK DEADLINE:
October 17th, 2008
For an extension: Call 817-276-9829
or email:
info@avaawards.com
Entries
x $60 - $
Pro bono entries
x $0 - $_____
0
______
AMCP fee
$25 - $____
25
_____
TOTAL -
$
#
CAT#
CLIENT
TITLE OF ENTRY
1
2
3
4
5
More Entries
Pro Bono
Form A
Payment Options:
Payable in U.S. dollars to Ava Awards
Print entry form(s), and send with entry(ies) and payment to:
Check
Visa
MC
Discover
American Express
Government entrants may call for other payment options.
Card #
Ava Awards
2320 Superior Dr., Ste. A
Arlington, TX 76013
Phone 817-276-9829
Card Expiration:
Month(MM):
/ Year(YY):
CCV Code
(Last 3 digits on back of card, Visa and MC Only.)
Name on Card
Cardholder Zip Code
Signature: _______________________________
Email Address for Receipt