91st Annual Dinner The North Shore Chamber of Commerce Keynote Speaker Lt. Governor Tim Murray "Embracing the North Shore's Economic Future with Vision, Leadership & Action" Wednesday, December 2, 2009 5:00-8:00pm Sheraton Ferncroft Resort Danvers (Soon to be The Crowne Plaza Boston North Shore) * denotes required field *Name: *Company: *Title: *Street Address: *City: * State:   * Zip: *Phone:                                     * E-mail Address: Title Sponsor - $2500 Title Sponsorship Package - $2500 - Receive Corporate Table of 10 with Signage - Full Page Ad in the 2009 Annual Dinner Program - Special Recognition as Title Sponsor - Title Web Banner w/ link (at top of Page/Emails) - Virtual Company Banner on Wall Corporate Sponsor - $1250 Corporate Table Sponsorship - $1250 - Receive Corporate Table of 10 with Signage - 1/4 page Ad in the 2009 Annual Dinner Program - Recognized at Dinner - Web Banner w/ link (middle of Page/Emails) Single Tickets $125/each Number of Tickets : Program Booklet Advertising ONLY - Full Page Ad Only - $999 - 1/2 Page Ad Only - $799 - 1/4 Page Ad Only - $499 PAYMENT -(Non-member: Payment by Mastercard, Visa, AMEX only) non-refundable, but transferable * Because Specific Space is Reserved, You must cancel within 3 Business Days prior to the Event. INVOICE ME (MEMBERS ONLY) VISA: MC: AmEx: Card Number: Exp Date: Comments: North Shore Chamber of Commerce 5 Cherry Hill Drive Suite 100 Danvers, MA 01923 ph (978) 774-8565 fx (978) 7743418 www.northshorechamber.org 2009 Register Page is not secure. By pressing the Submit button, you are agreeing to these terms. If you wish to relay Credit Card information over the phone, please do so by calling (978) 774-8565. © 2009 North Shore Chamber of Commerce. All rights reserved.