EVENT REGISTRATION:
Event:
Event Date:
REGISTRANT DETAILS:
Name:
Company:
Phone
Email: (required)
I will wear my own company name badge
I would like a badge made for me
GUEST DETAILS:
Guest Name:
Guest Company:
Guest Phone:
Guest email:
Guest will wear own company name badge
Please provide badge for my guest


Manheim Area Chamber of Commerce 
717-665-6330
717-665-7656 (fax)
info@manheimchamber.com
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