PDCA PROJECT OF THE YEAR AWARDS
Contractor Entry Form
awarded at the
PDCA General Business Breakfast Meeting
International Foundation Congress and Equipment Expo 2015
Friday, March 20, 2015
Project Submitted: ❒ Land ❒ Marine
Project Value: ❒ < $500,000 ❒ $500,000 - $2 Million ❒ $2 Million - $5 Million ❒ > $5,000,000
Project Title: _ _______________________________________________________________________________________
Approving Principal or Officer: _ _________________________________________________________________________
Entry Submitted by: ___________________________________________________________________________________
Company Name: _ ____________________________________________________________________________________
Address: _ __________________________________________________________________________________________
City: _ ____________________________________________ State: _______________________ Zip: _________________
Telephone: _________________________________________ Fax: _____________________________________________
Email: _____________________________________________________________________________________________
Project Owner: _______________________________________________________________________________________
Contract Amount (Pile Driving Contract Only): $__________________________
Project Start Date: ___________________________________ Completion Date: ___________________________________
Payment Information: ❒ Check (Enclosed) ❒ Visa ❒ MC ❒ AMEX
Card Number _ _____________________________________ Exp. Date ____________________ CVV ________________
Billing Statement Address: ______________________________________________________________________________
City: _ ____________________________________________ State: _______________________ Zip: _________________
Cardholder’s Name ___________________________________________________________________________________
Signature ________________________________________________________ Date:_ _____________________________
Submit Entry Form, Narrative and Payment to:
PDCA, Project of the Year Award
33 Knight Boxx Road, Suite 1, Orange Park, FL 32065.
Entries must be post marked no later than February 3, 2015.
46 | QUARTER 4 2014