Portage County Business Council

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

Conference for Administrative Professionals Reservation

Date: Wednesday, April 22, 2009
Time: TBA
Location: TBA
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:

E-Mail Address:

Luncheon Entree Selection
Please indicate entree choice for each attendee.
A: TBA
B: TBA

Attendee Registration

Please fill in first and last name as you would like them to appear on name tags.

Attendee Name:

Date of Birth:

Home Address:

Home City:

Home State:

Home Zip:

Home Phone Number:

Home Email Address:

Entree: A:TBA
B:TBA

Attendee Registration

Please fill in first and last name as you would like them to appear on name tags.

Attendee Name:

Date of Birth:

Home Address:

Home City:

Home State:

Home Zip:

Home Phone Number:

Home Email Address:

Entree: A:TBA
B:TBA

Attendee Registration

Please fill in first and last name as you would like them to appear on name tags.

Attendee Name:

Date of Birth:

Home Address:

Home City:

Home State:

Home Zip:

Home Phone Number:

Home Email Address:

Entree: A:TBA
B:TBA

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 the event with full refund. Reservations/tickets are transferable.

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