Pre-Payment Form

Date Event Cost No. of Attendees Total
08/26/10 August Luncheon
Maryland Golf & Country Club  •  11:30am		 $19.00
x
=
09/22/10 Harford Award Dinner
Richlin Ballroom  •  5:00pm		 $50.00
x
=
10/28/10 October Luncheon
Bayou Restaurant  •  11:30am		 $19.00
x
=
11/18/10 November Luncheon
Clarion Hotel of Aberdeen  •  11:30am		 $19.00
x
=
12/03/10 Annual Prayer Breakfast
Richlin Ballroom  •  8:00am		 $20.00
x
=
12/09/10 Holiday Party
TBD  •  5:00pm		 $25.00
x
=
12/16/10 December Luncheon
Bayou Restaurant  •  11:30am		 $19.00
x
=
01/27/11 January Luncheon
Richlin Ballroom  •  11:30am		 $19.00
x
=
02/17/11 Annual Dinner & Silent Auction
Maryland Golf & Country Club  •  5:30pm		 $35.00
x
=
03/22/11 Business Conference & Trade Show Luncheon
Harford Community College  •  11:30am		 $19.00
x
=
04/28/11 April Luncheon
Clarion Hotel of Aberdeen  •  11:30am		 $19.00
x
=
05/19/11 Military Appreciation Luncheon
Top of the Bay  •  11:30am		 $20.00
x
=
06/16/11 June Luncheon
Bayou Restaurant  •  11:30am		 $19.00
x
=
      TOTAL
=
Company Name:
Name of Attendee:
Phone No.: Fax No.:
Email Address:

Cancellations are accepted until noon the day prior to an event; once the deadline has passed all registered will be billed for the event. Registrations may be transferred to another person in your firm if notification is given to the Chamber office. The Chamber is required to give advance registrations to the restaurant for each event.
Please contact Donarae at 410-838-2020 ext. 105 for additional information.

Make Checks Payable & Mail to:
Harford County Chamber of Commerce ♦ 108 South Bond Street ♦ Bel Air, MD 21014
Credit Card Payments Fax to: 410-893-4715

Method of Payment:     Visa_____     MC_____      Am Express_____      Check_____     Cash_____
Card No.: Exp. Date: Amount:
Name on Card: Auth. No.: Trans. No.:
Signature: Clerk: Date:
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108 South Bond Street ♦ Bel Air, MD 21014
P 410-838-2020 ♦ P 800-682-8536 ♦ F 410-893-4715
info@harfordchamber.org ♦ www.harfordchamber.org