Event On-Line Registration

Event Title: Gala Osceola

Event Location: Disney's Coronado Springs Resort

Event Description: Gala Awards Dinner - Dress: Formal Attire

Date: 08/21/10   starting at: 7:00-PM  end time: 12:00-AM

EventPrice: 70 per person (Chamber Member) $80 per person (Non Member) $675 Corporate Table of Ten (Chamber Me

 

If you would like to register for this event
Complete the form below and press the submit button to electronically send your registration.

Company:

Contact:   E-Mail: 

Phone:   Fax: 

Number of attendees and price category (see above price field) 

Payment Method:

For credit card payment, please fill out the following information

Credit Card:   Card# 

Expiration Date:     Card ID# (CVV) 

Note: The Card ID Number is required for American Express & VISA. The Card ID is an added security feature to help protect you against online fraud.

Card holders name: 

Billing Address: 

For additional information, please contact Jill Stevenson at 407-847-3174, ext 236 or by e_mail at jills@kissimmeechamber.com