<p> 18th ANNUAL ASCC KICK-OFF BASH The Westgate Ballrooms D – E – F Theme: Concrete Rocks </p><p>ADVANCE REGISTRATION REQUIRED</p><p>Monday, February 2, 2015 6:00 P.M. - 9:00 P.M. Please print the names of those who will attend.</p><p>Name ______Name ______</p><p>Name ______Name ______</p><p>Name ______Name ______(Attach extra sheet for additional names)</p><p>NUMBER ATTENDING ______x $99.00 = TOTAL ______</p><p>Fax, Phone or Mail your Reservation. Make Checks Payable to ASCC: American Society of Concrete Contractors | 2025 S. Brentwood Blvd., Suite 105 | St. Louis, MO 63144 Telephone 314-962-0210 Fax 314-968-4367</p><p>Name: ______</p><p>Company Name: ______</p><p>Street: ______</p><p>City: ______State: ______Zip: ______</p><p>Phone: ______Ext: ______Fax: ______</p><p>Email: ______</p><p>Credit Card # (M/C, Visa, or AMEX) ______Exp. Date: ______</p><p>You can also register on website link - HERE.</p><p>REGISTRATION DEADLINE is January 26, 2015.</p><p>Tickets available at the door for $125 </p>