Thursday, April 1, 2004
Social-6:30 p.m.
Dinner-7:00 p.m.
Huntsville Hilton
Grand Salon Ballroom

Tickets: $ 25.00 each
Tables of 8 available
We can reserve seating with your society if reservations
are received by the HATS Office by COB Friday, March 26, 2004
(256-882-1234, fax: 256-882-1227)

Society Name _________________________________________________ _______

_____tickets @ ($25.00)= $________
(8 tickets per table or 6 tickets if seated with POY and guest)

Billing Address _________________________________________
_____________________________________________________
Daytime phone__________________________________________
Fax number____________________________________________

If purchasing a table please list below who will be attending the Dinner:

1. ______________________________________ (Nominated POY if applicable)
2. ______________________________________ (Nominated POY's guest if applicable)
3. ______________________________________
4. ______________________________________
5. ______________________________________
6. ______________________________________
7. ______________________________________
8. ______________________________________

If you would like to apply payment to a credit card fill out the information below:

Card: Visa___ Amex____ MC____

Card Number:______________________ Exp___/___

Cardholder Name:________________________

Signature:___________________________