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Chamber Networking Luncheon

The Waukee Chamber Networking Luncheon is held each month from 11:30 a.m. to 1:00 p.m. This is a great opportunity to enjoy a lunch catered by a local restaurant, develop business relationships with membership and have the opportunity to provide a brief introduction of your business.

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General Information

First Name: *
Last Name: *
Company:
City:
State:
Zip:
Phone:
Fax:
E-mail: *
Number of Guests:
Guest Names:

Payment Information

Product Quantity Price Subtotal

Luncheon Registration:

Quantity:

Price:		$15.00

Subtotal:

Day of Registration:

Quantity:

Price:		$20.00

Subtotal:

Total Amount Due:

Billing Information

Payment Type: *

Please make checks payable to the Waukee Area Chamber of Commerce. Checks can be mailed or delivered in person to the following address:

208 W. Hickman Road
Waukee, IA 50263

Credit Card Type: *
Credit Card Number: *
Card Security Code: *	(What is this?)
Expiration Date: *

First Name: *
Last Name: *
Company Name:
Address: *
City / State / Zip: *