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Full Issue (17 MB) - Pile Driving Contractors Association

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PROJECT OF THE YEAR Awards<br />

ENTRY FORM<br />

Project Submitted: ❑ Land ❑ Marine<br />

Project Value: ❑ Less than $500,000 ❑ $500,000 - $2 Million ❑ Greater than $2,000,000<br />

Company Name: _____________________________________________________________________________________<br />

PDCA Chapter Member: ❑ S.C. ❑ Mid-Atlantic ❑ Gulf Coast ❑ CA. ❑ FL. ❑ Northeast<br />

Chief Executive Officer: _______________________________________________________________________________<br />

Entry Submitted by: __________________________________________________________________________________<br />

Company Name: _____________________________________________________________________________________<br />

Address:<br />

___________________________________________________________________________________________<br />

City: ___________________________________________________ State: ______________ Zip: _______________<br />

Telephone: _______________________________________ Fax: ___________________________________________<br />

Email: _____________________________________________________________________________________________<br />

Project Title: ________________________________________________________________________________________<br />

Project Owner: ______________________________________________________________________________________<br />

Contract Amount (<strong>Pile</strong> <strong>Driving</strong> Contract Only): $ __________________________________________________________<br />

Project Start Date: _________________________________ Completion Date: ________________________________<br />

Payment Information: ❑ Check (Enclosed) ❑ Visa ❑ MC ❑ AMEX<br />

Card Number: ____________________________________________ Exp. Date: ___________ CVV: ______________<br />

Billing Statement Address:<br />

____________________________________________________________________________<br />

City: ____________________________________________________ State: _______________ Zip: ________________<br />

Cardholder’s Name: ___________________________________________________________________________________<br />

Signature: ___________________________________________________________________________________________<br />

Submit this form, narrative and payment information to:<br />

PDCA, Project of the Year Award, PO Box 66208, Orange Park, FL 32065.<br />

Entries must reach the PDCA no later than February 26, 2010.<br />

A DRIVEN PILE . . . IS A TESTED PILE!<br />

90 • Q4 • 2009

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