2018 LHVB Annual Dinner Registration

2019 Laurel Highlands Annual Dinner Registration

Payment MUST be submitted below through Paypal to complete this registration online. If you wish to pay by check, please return the response card included with the invitation.
Organization Name *
Name *

First Name Last Name
Email Address *
Billing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Additional Attendees:
Attendee #2

First Name Last Name
Attendee #3

First Name Last Name
Attendee #4

First Name Last Name
Attendee #5

First Name Last Name
Attendee #6

First Name Last Name
Attendee #7

First Name Last Name
Attendee #8

First Name Last Name
Pay Now by Credit Card. *
prev next ( X )
Reserve Individual Annual Dinner Tickets $ 75.00

Numbers of Tickets to Reserve

Gold Level Sponsorship (Table of 8 & Special Recognition) $ 1,500.00

Silver Level Sponsorship (Half Table & Special Recognition) $ 1,000.00

Total $ 0.00
By registering for LHVB annual dinner, I agree to be held responsible for the applicable fee. I understand that if I am no longer able to attend the dinner, a refund may be granted upon request only if I cancel my registration BEFORE Sept. 24.

Please note: Once you select "Register" below, you will automatically be taken to PayPal to complete your transaction by credit card.

Please note that the information filled out in this form will be saved and used by Laurel Highlands Visitors Bureau. It will not be used for other purposes or released to any third parties.
Should be Empty:

2019 Laurel Highlands Annual Dinner Registration