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Register Me
-
* denotes
required field
*Name:
*Company:
Street Address:
*City:
State:
Zip:
*Phone:
Fax:
E-mail Address:
- TO REGISTER, PLEASE CHOOSE THE APPROPRIATE
BOX:
-
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Reserve a Corporate Table of 10 with Signage for this Breakfast ($250)
Number of Tickets:
- SEASON TICKET HOLDER
- NORTH SHORE CHAMBER MEMBER - $25/Ticket
-
NON-MEMBER - $50/Ticket (must prepay by Credit
Card)
PAYMENT -(Non-member: Payment by Mastercard, Visa, AMEX
only) non-refundable, but transferable*
INVOICE ME (MEMBERS ONLY)
VISA:
MC:
AmEx:
Card Number:
Exp Date:
Comments:
- checks: c/o North Shore Chamber of Commerce
- 5 Cherry Hill Drive Suite 100
- Danvers, MA 01923
- ph (978) 774-8565
- fx (978) 7743418
- www.northshorechamber.org
2008 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.© 2007
North Shore Chamber of Commerce. All rights reserved.
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