1. Club Venetian
29310 John R, Madison Heights, MI 48071
Tuesday, October 11th
LBN 8:00 AM – 12:00 PM
This Event Sponsored by:
Fall
Mixer
Please complete all four sections below to make your reservation
1. Name: Company:
Phone: ( ) - Email:
Business
Category:
LBN Chapter:
Non-Members: Name of LBN Member who invited you:
2. Exhibitor:
Exhibitor 4’ Table LBN or FON Member: $50.00
- Table top presentation space Non-Member: $75.00
- Table and cover Exhibitor 8’ Table LBN or FON Member: $80.00
- 4 hours of Networking Non-Member: $105.00
- Continental breakfast for 1 person Electricity Needed: $0.00
- Electricity if ordered Offering Door Prize: $0.00
- Door Prizes *Add $10 late fee if registering after Oct 3rd: $10.00
- 4 hours of Networking
- Continental breakfast for 1 person Name of Staff:
- Door Prizes Email:
Non-Exhibitor: - 4 hours of - Door Prizes Non-Exhibitor: $15 each
Networking
- Continental breakfast for 1 person
Lunch & Networking: - 12:15 pm – 2:00 pm Total Lunch price ($20 per person):
- $20 per person *If person attending lunch is different than or in addition to those
named above, please call 248-620-6320.
3. PAYMENT CHECK CREDIT CARD Total Amount:
OPTIONS
CARD TYPE: VISA M/C DISCOVER AMERICAN EXPRESS
Name as it appears on card
Billing Address
STREET CITY STATE ZIP
Card Number - - - Security Code:
Expiration Date: / Signature Date
4. To complete your reservation, do one of the following:
- Mail form with your check made out to LBN: Local Business Network
- Sign up online at www.LocBusNet.com 5446 Bristol Parke Dr.
- FAX form with payment info. to (248) 620-6321 Clarkston, MI 48348
*All reservations must be received by Oct. 7th.
No cancellations after that date. No-shows will be billed
FOR ADDITIONAL INFORMATION CALL (248) 620-6320