The Facility of the Year
Awards Banquet
Tuesday, 3 June 2014 | Hilton Baltimore
Baltimore, Maryland USA
Join ISPE and prominent industry leaders as we recognize the 2014 Category Winners and
celebrate 10 years of industry innovations. More than 200 industry leaders are anticipated
at the gala so register now for preferred seating.
Announcing the FOYA Category Winners
For the first time in FOYA history, a select few award banquet tables and individual seats
are available for purchase.
Please indicate your selection(s):
□ Table (8 seats):
□ Individual Seats:
$1,000
Quantity: ______
$145 each
Quantity: ______
CONTACT DETAILS
Company: _______________________________________
Website: _________________________________
Contact Name: ___________________________________
Title: ____________________________________
Phone: _________________________________
Email: ___________________________________________
Address: ___________________________________________________________________________________
City: ______________________________ State/Providence: ____________ Zip/Postal Code: _____________
PAYMENT METHOD: Registrations will not be accepted without payment or credit card information.
□
□
CHK #: _______enclosed payable to ISPE (must be in US Dollars, drawn on a US bank) in the amt. of $_____________ Bill my credit card:
Visa
Mastercard
American Express
Card number: _____________________________________________________
Exp. Date ___________
Name of Cardholder (as it appears on the card) ______________________________________________
Printed Name: _____________________________ Cardholder Signature: _________________________
RETURN THIS COMPLETED FORM WITH PAYMENT TO ISPE HEADQUARTERS:
Alisa Pachella, Account Manager
600 N. Westshore Blvd., Suite 900, Tampa, Florida 33609 USA
Tel: +1-813-739-2274 | Fax: +1-813-739-2288 | Email: APachella@ispe.org | FEI #59-2009272