Annual Dinner Registration

Tuesday, November 8th starting @ 6 PM

 Embassy Suites Hotel Columbia-Greystone
200 Stoneridge Drive
Columbia, SC 29210

Please use the form below.
  Either print and mail with your payment or submit application and we will invoice you.  Payment can be made in cash, check, or charge.  Please call to charge with either Visa or MasterCard.

Fields marked with * are required

West Metro Chamber of Commerce Annual Dinner Registration

1006 12th Street Cayce, SC 29033
Call 794-6504 or 1-866-720-5400 for INFO or Credit Card payments

Date:
Name: *
Address: *
Address:
City: *
State: *	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
ZIP: *
E-Mail: *
Telephone: *
Entry Type & Fee: *	Individual - $35 Couple - $60 Table Sponser - $325 Award Sponser - $125 School Awards - $250 (Table Sponsors include 8 dinners, Award sponsors Include 2 dinners, School Award sponsorship includes up to four dinners)
Method of Payment: *	Cash Check Credit Card (please call to pay by Visa/MasterCard)
If paying by check, please indicate check number:
Please Indicate number of guests for each choice of dinner entree: (click here to see full menu)
London Broil:
Chicken with Brie & Bacon:
Comments: