North Shore Chamber of Commerce Register Me for the New Member / Professional Networking Reception Meet the New Members from the 2009 Drive Thursday, November 12th FINZ Seafood & Grill 76 Wharf Street Pickering Wharf Salem, MA 01970 5:00pm-7:00pm * denotes required field *Name: *Company: *Title: *Street Address: *City: * State:   * Zip: *Phone:                                     * Your E-mail Address: Invite up to 4 guests on the North Shore Chamber!  *Name Guest 1  *Email                               *Name Guest 2  *Email                                *Name Guest 3  *Email                               *Name Guest 4  *Email          Please Check all Applicable Boxes: NORTH SHORE CHAMBER MEMBER - Free for Members NON-MEMBER (not guest) - $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. VISA: MC: AmEx: Card Number: Exp Date: 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.© 2008 North Shore Chamber of Commerce. All rights reserved.