10th Annual Women
in Business Celebrate Success! Gala Luncheon
- Registration Form
Friday, October
19, 2006
Pooks Hill Marriott
Business Showcase
& Marketplace opens 10:00 a.m. to 3 p.m.
Lunch
and Program Noon to 2:00 p.m.
Featuring
Susan Lacz, Ridgewells
Presented
by: Women Business Owners of Montgomery
County
Partners:
Rockville Economic Development, Inc.
Rockville Chamber of Commerce
Montgomery County Department of Economic Development
Montgomery County Chamber of Commercd
To
ensure you are properly recognized in the program,
please fill in this form completely and legibly.
The information provided will
be used for your name badge and program description.
Attach extra sheets if registering for more than
one person.
Name(s): _________________________________________________________
Organization:______________________________________________________
Address: _________________________________________________________
City, State, Zip:
____________________________________________________
Phone: ____________________________
Fax: ______________________________
Email: _____________________________
Luncheon Choice:
Chicken ____ Vegetarian
____
____ WBO
Members August Special until August
30th: $50
____ Advance registration until September
30: $55
(Non-member
rate or member rate from August 31st – September
30th)
[must
be postmarked by September 30 to
guarantee listing in the program]
____ From
October 1st to October 13th: $65
____ At
door: $75
____ No. of
Reservations
____ Table
for Ten: $550
Check enclosed (payable
to WBO) $ ___________
Credit Card (Visa,
MC) $_____________________
Account Number:
____________________________________________________
Exp. Date__________________________________________________________
Name of Cardholder
(print):
__________________________________________________________________
Signature of Cardholder:
__________________________________________________________________
[ ] Please
check here if you would like to receive a WBO-MC
membership application.
To
advertise, exhibit, sponsor, or obtain more
information call
877-461-9901 (Gala Chair), visit www.wbo-mc.com/gala
or e-mail wbo@wbo-mc.com
Fax
completed form with credit card payment to
Chiquita Sorrels, 301-871-3660 or mail with
check to WBO Gala, PO Box 1281, Rockville, MD 20849-1281.
Women
Business Owners of Montgomery County is recognized
by the IRS as a Section 501(c)(6) non-profit organization
covering business leagues. Contributions or gifts
to WBO-MC are not tax deductible as charitable
contributions. However, they may be tax deductible
as ordinary and necessary business expenses.
Women Business Owners of Montgomery County –
Federal ID# 52-1741287
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