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* denotes required field

*Name:


*Company:


Street Address:


*City:

State:   Zip:


*Phone:                                 Fax:
  

E-mail Address:


Please Check all Boxes that Apply:

TITLE SPONSOR - $2499

GOLFING FOURSOME - $999

GOLFING TWOSOME - $499

GOLFING SINGLE - $249


PATRON HOLE SPONSOR - $499

CORPORATE TEE SIGN SPONSOR - $99


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PAYMENT -

(Non-member: Payment by Mastercard, Visa, AMEX only) non-refundable, but transferable*

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

© 2017 North Shore Chamber of Commerce. All rights reserved.
www.northshorechamber.org