To assist individuals with disabilities to gain and to sustain employment.
Founded in 1978.
We have placed over 6,400 job seekers!
Project HIRED Presents the First Annual
Empowerment Breakfast:
Employ & Empower!
October 1, 2015 8:00 AM-10:00AM
TABLE & TICKET ORDER
Early bird deadline: September 7, 2015
Reservation deadline: September 21, 2015
Payment must be received along with order form to process registration
Package
Number of Tickets
Price
Early Bird Pricing – Before September 7, 2015
Individual ticket
$99
Table of 10
$990
Table Captain Package – Named as table captain at event
$1,250
and group mention on website, free mug/gift
Regular pricing – Deadline to register September 21, 2015
Individual ticket
$129
Table of 10
$1,290
Table Captain Package – Named as table captain at event
$1,550
and group mention on website, free mug/gift
Total $
Payment Amount $
Payment Type
☐ Visa
☐ Mastercard
☐ American Express
Name
Organization
Email
Billing
Address
Phone
City, St, Zip
Card
Number
Expiration
Signature
Date
☐ Check (Included)
Please return along with full payment to: Project HIRED
Mail: 1401 Parkmoor Ave., Ste. 125, San Jose, CA 95126 Fax: 1-408-343-7054 Email: events@projecthired.org