Reservation Form
Edward K. C. Lee Dinner
Student Center, Pacific Ballroom D
Thursday, May 29, 2008
Name:
Faculty $45.00
Staff $45.00
Student $25.00
Postdoc $25.00
General public $45.00
E-mail:
Phone:
Guest:
Faculty $45.00
Staff $45.00
Student $25.00
Postdoc $25.00
General public $45.00
Guest:
Faculty $45.00
Staff $45.00
Student $25.00
Postdoc $25.00
General public $45.00
Guest:
Faculty $45.00
Staff $45.00
Student $25.00
Postdoc $25.00
General public $45.00
Guest:
Faculty $45.00
Staff $45.00
Student $25.00
Postdoc $25.00
General public $45.00
Guest:
Faculty $45.00
Staff $45.00
Student $25.00
Postdoc $25.00
General public $45.00
Guest:
Faculty $45.00
Staff $45.00
Student $25.00
Postdoc $25.00
General public $45.00
Total amount
Form of payment, please check one:
Account/fund
Check (Payable to UC Regents)
Comments:
(We apologize that we cannot accept cash or credit card payments. Tickets are non-refundable)
Please mail check to:
UCI Chemistry Department
Edward K. C. Lee Event
1102 Natural Sciences II
Irvine, CA 92697-2025