British American Chamber of Commerce..   Broward County
	EVENT REGISTRATION All event registrations and fees are due no later than 2 business days prior to the event. Event fees are non-refundable.  Send this completed registration form (and your check if applicable) to: British American Chamber of Commerce Broward County Attn: Roy Yates 2800 N.E 41st Street,Lighthouse Point,Florida 33064 USA FAX : 954 942 3588 _________________________________________________________________________________________________ EVENT Event Type:  [  ] Business Networking     [  ] Social Gathering     [ ] Business Luncheon  Event Date: _____ /_____ /_____ _______________________________________________________________________________________________________________ ATTENDEES Company Name:  _____________________________________      BACC BROWARD COUNTY Member? [  ] Yes  [  ] No Contact Name:   ______________________________________ Address:           ___________________________________________________________________________ City:                ________________________________  State:  __________  Zip Code:  ______________ Telephone:        _____________________________________  Extension:  _________________________ E-mail:             ___________________________________________________________________________ # of Attendees: _______________     Total Paid: ________________     Date Paid: _________________ _______________________________________________________________________________________________________________ CHECK IF PAYING BY CHECK, SIMPLY INCLUDE YOUR CHECK PAYABLE TO: BRITISH AMERICAN CHAMBER OF COMMERCE BROWARD COUNTY AND MAIL WITH THIS FORM. _______________________________________________________________________________________________________________ CREDIT CARD IF PAYING BY CREDIT CARD, COMPLETE THE INFORMATION BELOW:    Credit Card #: __________________________________   Expiration Date (MM/YY): ________ I authorize the British American Chamber of Commerce Broward County to charge the Total Paid amount to my credit card. Signature (required for credit card payments): ________________________________________________ _______________________________________________________________________________________________________________ Please note below any special food restrictions or special handling needs for you or your guests. We will do our best to work with the event host to accommodate these needs. _______________________________________________________________________________________________________________
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