Portage County Business Council

Ph: 715-344-1940
Fax: 715-344-4473

Ag Banquet Reservation

Date: Monday, March 4, 2009
Time: 6:00 - 8:45 P.M.
Location: TBA
Reservation Deadline: Wednesday, March 9, 2009

(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:

E-Mail Address:

Attendee Information

Please fill in first and last name and the company name of all attending as they
appear on name tags.

First Name Last Name Company

Parties of eight only will have reserved seating - unless award winners.

Total Number Attending: 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.

------------- The Active Voice:Portage County Business Council Newsletter -------------