North Shore Chamber of Commerce :: Register for Breakfast Forums

The North Shore Chamber of Commerce is dedicated to shaping policy and events so that decisions by business and government result in an improved economy and quality of life for the region.

Register Me for Breakfast Forum

* denotes required field

*Name:

*Company:

Street Address:

*City:

State:   Zip:

*Phone:                                 Fax:


E-mail Address:

TO REGISTER, PLEASE CHOOSE THE APPROPRIATE BOX:

Reserve a Corporate Table of 10
with Signage for this Breakfast ($290)

Number of Tickets:
SEASON TICKET HOLDER
NORTH SHORE CHAMBER MEMBER - $29/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

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.© 2007 North Shore Chamber of Commerce. All rights reserved.