Greater BucksMont Chamber of Commerce
Event Registration Form

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06/21/23 - Chamber Unplugged.......Kick off the Summer with Chamber Family Night !
Visit Ross Mill Pig Farm !
Light Refreshments.
Outdoor Event so event is Weather Permitting. Will be cancelled if Raining. (No Rain Date)
Long, windy road into venue - so drive carefully ! Parking space is limited so be sure to rideshare, if possible.
Members - (individual or family) - $10.00
Qty =
x $
= $
Non-Members (individual or family) - $15.00
Qty =
x $
= $
Total
$
First Name *:
Last Name *:
Company Name:
Address *:
City *:   State:   Zip:
Phone *:
Email *:
Email (again) *:
Other
Attendees:
Comments: