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Fall Boat Cruise Registration Form

CodeDescriptionUnit PriceQtyTotal

Brockville and District Chamber Member

Restricted to active members and their employees.

$45.00

NMT

Future-Member Ticket

Access to event for non-members.

$55.00

$0.00

BIA

Downtown Brockville BIA

Ticket for Downtown Brockville BIA member

$45.00

$0.00

NGC

North Grenville Chamber

Tickets for North Grenville Chamber Members

$45.00

$0.00

NDC

North Dundas Chamber

Tickets that are assigned to attendees at no charge and for internal use only

$45.00

$0.00

Subtotal$45.00

Tax$0.00

Pricing could not be calculated.

Total Due$45.00

Only public member directory details are prefilled. Complete or correct the billing snapshot for this registration.

Member Company Name *

Billing Contact Name *Billing Contact Title

Billing Contact Email *Billing Contact Phone

Billing Address *

Billing Address Line 1 *Billing Address Line 2Billing City *Province / State *Postal Code *Country *

Add attendee details List below• 1 attendee, add attendee names and emails and confirmations will be emailed once payment is complete.

Attendee 1

Brockville and District Chamber Member

Attendee Name *Attendee Email *Attendee Phone Number

#	Ticket Type	Attendee Name *	Attendee Email *	Attendee Phone Number
1	Brockville and District Chamber Member

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