Registration 

for the
2010 Spring Luncheon 

 at the
Four Seasons Hotel
Corcoran Ballroom
2800 Pennsylvania Avenue, NW, Washington, DC

Thursday, April 8, 2010
11:30 a.m. - 2:00 p.m. 

Featuring
The Capitol Steps
Washington's Favorite Entertainer
 

Name:
Title:
Organization:
Address1:
Address2:
City:	State:  Zip:
Phone:	Fax:
E-Mail:
Members: $75 per seat, $650 per table (seating 10), Non-members: $95 per seat, $850 per table (seating10) Members (please check)       Please indicate: # Seats        , # Tables
Registration Deadline is April 2, 2010.  No refunds for cancellations after this date.  Payment must be received by this date in order to complete your registration.  Confirmations will be provided upon payment. Your name and organization will appear on your name badge.  Please provide the names of your guests below (including yourself).
Guest 1:	Vegetarian:
Guest 2:	Vegetarian:
Guest 3:	Vegetarian:
Guest 4:	Vegetarian:
Guest 5:	Vegetarian:
Guest 6:	Vegetarian:
Guest 7:	Vegetarian:
Guest 8	Vegetarian:
Guest 9	Vegetarian:
Guest 10:	Vegetarian:
Payment:	Enter transaction total $ and (Payment Type) Check Credit Card
Checks:	Please make payable to DCHA.  Payment should be made before the event in order to complete your registration
Credit Card:	(Card Type) VISA MasterCard American Express Expiration: (Month) 01 02 03 04 05 06 07 08 09 10 11 12 / (Year) 10 11 12 13 14 15 Card Number:
Events sponsored by the District of Columbia Hospital Association are deductible as an ordinary and necessary business expense under IRS code, but are not deductible as charitable contributions for federal tax purposes.