Participant and sponsor are included. Additional guests are $35.00 per person

Participant Name: ___________________________________________________________________________

Sponsor Name: _______________________________________________________________________________

Additional Guests attending ___________ at $35.00 each

Total Reservations: _________     (Including Participant & Sponsor)                             Total: $___________

Reservations are required. PLEASE RETURN TO THE CHAMBER OFFICE BY JUNE 17

Email: services@weirtonchamber.com or FAX (304) 748-0241

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