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Pre-register for the

51st Annual HBAM Leadership Installation Banquet

"Passing the Torch"

June 26, 2007

51st Annual HBAM Leadership Installation Banquet
Registration Form
Your Information (* denotes a required field)
Name* Firm
Phone* Email*
  Local Association
Provide Sponsorship Information

Note that sponsorships come with 1 to 16 free tickets. Please enter your guest's names in the spots below. The total cost below will reflect this discount. click to view sponsor
package details
Select the sponsorship package you would like to purchase:
Enter Company Name for
the Sponsor Package:
Package includes tickets Package $
 
Purchase Individual Tickets / Guest Info
Please list each person for whom you would like to purchase a ticket, including yourself. Cost is $100 per guest after any sponsor package guest allowance. If you don't know the name of the guest, please indicate by entering TBD.
Guest 1
Guest 2
Guest 3 Guest 4
Guest 5 Guest 6
Guest 7 Guest 8
Guest 9 Guest 10
Guest 11 Guest 12
Guest 13 Guest 14
Guest 15 Guest 16
  Total Tickets $ after any sponsor
package discount
Complete the Transaction
Once you press submit, you will be redirected to the PayPal web site where you can use your credit card to pay the registration fee. Your confirmation/receipt will be sent to your email by PayPal. Listed Guests
Total Cost $

Gagnon Consulting, Inc.
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