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Guinness Social Event
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Partner With Us
Conference
Guinness Social Event
Contact Us & FAQ’s

Attendee Registration 3

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Company Name

Attendee Name #1 *

First

Last

Email *

Guiness Social Attendee #1 *

I will attend the Guinness Social
I will NOT attend the Guinness Social

Attendee Name #2

First

Last

Attendee Email #2

Guiness Social Attendee #2

I will attend the Guinness Social
I will NOT attend the Guinness Social

Attendee Name #3

First

Last

Attendee Email #3

Guiness Social Attendee #3

I will attend the Guinness Social
I will NOT attend the Guinness Social

Attendee Name #4

First

Last

Attendee Email #4

Guiness Social Attendee #4

I will attend the Guinness Social
I will NOT attend the Guinness Social

Attendee Name #5

First

Last

Attendee Email #5

Guiness Social Attendee #5

I will attend the Guinness Social
I will NOT attend the Guinness Social

Name on Credit Card

Credit Card Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

*Please use the credit card billing address

Credit Card Info *

Card Number

Expiration

/

Security Code

Number of Attendee Registrants

Attendee 1 - $ 300.00
Attendee 2 - $ 600.00
Attendee 3 - $ 900.00
Attendee 4 - $ 1,200.00
Attendee 5 - $ 1,200.00
Attendee 1 - for Active or retired military personnel ONLY. Please send a copy of your military ID or DD214 with Social Security number covered to accounting@chesapeakesc.org - $ 195.00

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