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Register Me for
North Shore Business Leads Group

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*Name:


*Company:


Street Address:


*City:

State:   Zip:


*Phone:                                 Fax:
  

E-mail Address:


Please Check all Boxes that Apply:

NORTH SHORE CHAMBER MEMBERS ONLY- $25/Ticket

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PAYMENT -(Payment by Mastercard, Visa, AMEX only) non-refundable, but transferable*

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Exp Date:


* Please "Wait-List" me if Session is Full

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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

© 2010 North Shore Chamber of Commerce. All rights reserved.
www.northshorechamber.org