Annual Dinner Reservation Date: Tuesday, January 20, 2009 Time: 5:30 - 9:00 p.m. Location: Ramada Stevens Point Reservation Deadline: TBA (If you do not make the deadline and still want to participate, please call our office at 715/344-1940) Contact Information Contact Name: Company Name: Company Address: Company City: Company State: Company Zip: Company Phone Number: Company Fax Number: *Required E-Mail Address: Attendee Information Please fill in first and last name and the company name, if applicable, of all attending as you would like it to appear on their name tags. Also choose entree selection. A) TBA   B) TBA   C) TBA D) TBA First Name Last Name Company Entree A B C D A B C D A B C D A B C D A B C D A B C D A B C D A B C D A B C D A B C D Parties of eight only will have reserved seating. Total Number Attending: 12345678910 x $TBA = $ Please Choose One of the Following for Payment: Payment Being Sent (checks payable to the Portage County Business Council)     Portage County Business Council     5501 Vern Holmes Drive     Stevens Point WI 54481 Credit Card (Please call us at 344-1940 to use this form of payment.) Cancellations may be made up to 7 days before the event with full refund. Reservations/tickets are transferable.

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