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Brockville and District Chamber of Commerce

67th Awards of Excellence Gala Registration Form

1

Select Tickets

Regular Meal

Regular Meal

Cranberry & Goat Cheese Stuffed Chicken

$175.00
1
$175.00
Vegetarian Option

Vegetarian Option

Portobello Stuffed Mushroom

$175.00
0
$0.00
Subtotal$175.00
Tax$0.00

Pricing could not be calculated.

Total Due$175.00
2

Invoice and Attendee Details

Select Member Company To Invoice

Edit member contact, email and phone number, if different than what auto-populates. Member Logo and website URL will be populated from member profile

Assign ALL tickets to attendee(s) List below• 1 ticket, add attendee names and emails and tickets will be emailed once it is paid.

#Attendee Name *Attendee Email *Attendee Phone Number
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Preferences & Accessibility

Do you have any special accommodations?

Let us know if you have any accessibility or special accommodation requirements.

By clicking Register & Generate, you agree to the Brockville and District Chamber of Commerce terms and conditions.