January Mixer Registration
Please use the form below to register.
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Registrant's Name
First Name
Last Name
Business Name
Job Title
Email
example@example.com
Phone Number
Please enter a valid phone number.
Is your business a member of the Lake George Regional Chamber of Commerce & CVB?
Yes
Not Yet
Do you have a specific "ask" or announcement you would like to share at the event? If so, please describe below:
Names of additional attendees
Would you like to participate in the wing eating contest (limited to 10 participants)
Please Select
Yes
No
Name of Participant
First Name
Last Name
How would you like to pay?
Please Select
Credit Card
Check
Payment
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next
( X )
Business After Hours Mixer Member
Please select number of professional members attending.
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Friends and Family Add-On
$5 charge for as many friends and family you would like to bring.
$
5.00
Credit Card
Submit
Should be Empty: