Join The Chamber Board of Directors in Honoring the Recipients Memories Ballroom 1077 Lake Dr., Port Washington WI 53074 Wednesday, November 18, 2009 Social/Cash Bar 5:30PM Dinner 6:30PM $30.00 per plate Baked Crab Stuffed Cod OR Chicken Cordon Bleu RSVP by 11/10/09 Business __________________________________________________ Entree Selection Attending ____________________________ ___________________ ____________________________ ___________________ _____________________________ ___________________ _____________________________ ___________________ # ____ x $30.00 = Total __________ Check payable to PWCC ___ Master Card ___ Visa ___ Name on card _____________________________________________
Card Number ______________________________________________ Expiration Date __________ Security Code _________ Amount to be charged $____________ Signature __________________________________________________ |