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Register Me - Breakfast Forum
-
* denotes
required field
*Name:
*Company:
Street Address:
*City:
State:
Zip:
*Phone:
Fax:
E-mail Address:
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- TO REGISTER, PLEASE CHOOSE THE APPROPRIATE
BOX
- Number of Tickets:
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- SEASON TICKET HOLDER - $18/Ticket
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- NORTH SHORE CHAMBER MEMBER - $25/Ticket
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- NON-MEMBER - $35/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
2007 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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