Portage County Business Council

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

Small Business Week Breakfast Reservation

Date: Friday, May 1, 2009
Time: 7:15 - 9:00 A.M.
Location: TBA
Reservation deadline: Monday, April 27, 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:

Check if Business with 25 or fewer full-time employees

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

One complimentary breakfast provided for each Business Council member business with 25 or fewer full-time employees and with one paid admission from the same business.

Total Number Attending: x $TBA = $

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 event with full refund. Reservations/tickets are transferable.

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