North Shore Chamber of Commerce Register Me for Young Professionals Network @ FINZ Thursday, July 10th FINZ Seafood & Grille 76 Wharf Street Salem, MA 01970 5:00-7:00pm * denotes required field *Name: *Company: *Title: *Street Address: *City: * State:   * Zip: *Phone:                                     * E-mail Address: Age:    * Education: * Self Employed? YES NO * Years of Professional Experience: * Referred by: * Please list three things you would like to see the North Shore Young Professionals Network address in 2008: 1) 2) 3) Please Check all Applicable Boxes: 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* 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: What Do You Hope to Gain from the Young Professionals Network? 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.