PDCA PROJECT OF THE YEAR AWARDS
Associate and Engineering Affiliate 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
Design, Material or Equipment Contract Value: $_____________________________________________________________
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.
48 | QUARTER 4 2014