Central Bucks Chamber of Commerce
Event Registration Form

To register for the event below, please enter the number of participants in
the Qty field for each event.
(Note: do not press "Enter"; use "Tab" to navigate between fields)

Fields marked with an asterisk * are required.


06/09/17 - Business to Business Breakfast
Speaker: Ron Davis, Chief Diversity and Inclusion Officer, Parx Casino

Sponsors: Monument Bank and Dale Carnegie Training

Cost: Member $30. - Non-Member $35.
Members - $30.00
Qty =
x $
= $
Non-Members - $35.00
Qty =
x $
= $
Total
$
First Name *:
Last Name *:
Company Name:
Address *:
City *:   State:   Zip:
Phone *:
Email *:
Email (again) *:
Other
Attendees:
Comments: