Chamber Awards &
Scholarship Luncheon
Bayou - Havre de Grace
$18.00 Per Person ® Reservations Required ® 24 hr. Cancellation Required
June 19, 2008 at 11:30 am

Names Attending 
                          
Company Name
Phone   Fax 

Please complete and mail or fax form to:
Harford County Chamber of Commerce
108 South Bond Street
Bel Air, MD 21014
Fax: 410-893-4715

Method of Payment  Cash  Credit Card  Check
Name on Credit Card
Credit Card No.
Exp. Date

Signature ___________________________________________


Auth# _________________ Trans# __________________
Total _____________ Clerk ________ Date ___________