Reservation Form
Fax - Form (925) 671-9471

East Bay Escrow Association

Thursday, January 15, 2004
5:30 P.M. Cocktails 6:00 P.M. Dinner 7:00 P.M. Program

Hilton Hotel, 1970 Diamond Blvd., Concord, CA
Cost: $27.00 Members / $29.00 Non-Members

( PD HOLDERS ONLY - $25.00 )

Program: Rick Wallace

Regional Counsel - Old Republic Title

Name:______________Co.____________Ph.#_________

Name:______________Co.____________Ph.#_________

Name:______________Co.____________Ph.#_________

Dinner : Garden Green Salad, Rosemary Chicken and
Strawberry Margarita Cheese Cake

Total Amount $_________ ( ) being sent ( ) Will Pay Upon Arrival

Please send your check payable to EBEA to Ellen Hole,

First American Title, 1355 Willow Way, Suite 100, Concord, CA 94520

Telephone: (925) 356-7191

FAX this Reservation by Tuesday Jan. 13th

Please note that all reservations must be cancelled 48 hours in advance
if you wish to receive a refund. No shows must be charged, as we are
obligated to pay for all reserved dinners.