Northern-Illinois Chinese Association

807 Commons Rd., Naperville, IL 60563

(630) 428-9007(R),  (630) 420-1220 ex 3031(W)

 

2003        CHINESE  NEW  YEAR  RESPONSE  FORM

Company Name : ___________________________________

Name         :  _______________________________________

Phone No. :  _______________________________________

Address    :  _______________________________________

 

Please indicate your donation(s):

 

1.                  Sponsor for 2003 Chinese New Year Banquet:

Contact person: 劉又明630-920-1056(H) 708-848-4847(Fax),   Susan Logan 630-369-8053

_________ $200+  Honorable Sponsor

_________ $100 Sponsor

 

2.                  Advertisement in 2003 NCA Members Directory:

Contact person: 蔡琇真Judy Hsia 630-369-8519

 

                              DESCRIPTION                       SIZE                       FEE

__________        Full Page                            8” x 11”                   $100

__________        Half Page                           4” x 5.5”                   $50

 

3.                  Raffle Prize / Gift :

Contact person: 蕭林Ling Li 630-208-6815

_____  I wish to contribute the following raffle prize item(s).

___________________________________________________

___________________________________________________

 

4.                  2003 NCA Membership Fee:  __________$25.00

Contact person: 陳錦疊Alice Chen 630-428-7514

 

5.                  2003 New Year Banquet Ticket:  (including 5 free raffle tickets)

Contact person: 萬以循 I-Hsun Jan 630-961-1769

__________$50 VIP          ____________$35

 

 

Please send your check payable to NCA with this form to

Ms. Susan Logan, 818 Fairwinds Ct. Naperville, IL 60563

Thanks for your support.