Event Registration

Please register me for the May 19th event. (Name, email, membership and food choices are required information.)

Fees:

$35	members of WIBC
$35	members of strategic partner organizations (Simmons)
$30	students
$45	non-members
$70	yourself and a first-time guest

$10	Surcharge for registrations after midnight on Friday, May 14th.


First name:
Last name:
Company name or service:	Eg: Acme LLC, Ghostwriter, Real estate broker
Your email:
Your phone:

Is this the first time you have attended a WIBC event?
	yes no

Membership:
	I am a current member of WIBC
	I am a member of a strategic partner organization
	I am a student
	I am a first-time attendee or guest

	I have already paid for all five luncheons this year

	I am a former member of WIBC
	I am not a member

	I am bringing a guest who is attending a WIBC event for the first time
If you are bringing a guest:
Guest's name:
If you are the guest:
Host's name:

Menu & Food
	Herb-crusted Chicken Breast with Marjoram and Syrah Sauce
	Herb-grilled Salmon with Bordelaise & Beurre blanc sauce
	Chef's choice of Vegan Entrée

	I have food allergies or other concerns:


Register and pay:

A cancellation must be received, either by phone or email, 48 hours prior to a WIBC event in order to process a refund or credit.

group of women talking

photo credits: Ellen Callaway
www.callawayphoto.com