2023 Holiday Party Wednesday, December 13, 2023 at 5:00 p.m. Venue:Aurora Italiana Please enter the following information to participate as a sponsor of this event or to purchase raffle tickets using our online registration process. Required fields are identified with an asterisk. "*" indicates required fields Event SponsorshipRequested Sponsorship Level*The number of sponsorships available at each level is shown in parentheses. Holiday Party Sponsor – $ 500.00 (1) Decline to Sponsor Event TicketsRaffle Tickets Quantity Price: $10.00 Quantity Total Number of Tickets OrderedPayment InformationHow Do You Wish to PayTo pay with a credit card, click on the “Pay with a Debit or Credit Card” link when you reach the https secure PayPal page. By check to the Greater West Bloomfield Chamber of Commerce Online via PayPal (with a PayPal account or a major credit card) Should we email an invoice to you? Yes Order Total Name* First Last Business or Organization Name* Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Optional Additional PhoneEmail* Enter Email Confirm Email CAPTCHAProtected by invisible CAPTCHA
