November Chamber Membership Lunch, Year in Review at Hollywood Ballroom

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:

• Fee

  Type	Fee
  Chamber Member: Lunch & Program	$36.00
  Future Chamber Member: Lunch & Program	$46.00

Business Information

• * Company:
• * Address 1:
• Address 2:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Phone:

Guest Information

You may add a maximum of 10

Payment / Reservation Information

• Cancellations within 5 days prior to event will receive a full refund, less than 5 days and no shows will not be refunded and will be billed the full amount. $25 fee on all returned checks. Chamber events are all prepay events, please choose one of the payment options. If choosing "Pay by Check" please have check in the office 5 days prior to event.

Pay By Credit Card or ACH

• Once your registration is received you will automatically be sent an invoice from the chamber to the email address in your registration. You will have the option to pay by check, credit/debit card or an ACH payment. You will make your selection once you click on the review and pay button on your invoice!