Special Networking Event Form

Special Event Registration

PBN Professional Business Network
Your Network for Business Success

Please fill out the form to register for or donate to the Special Networking Fundraiser. If you wish to pay or donate by credit card now, you will have an option to do so after you submit the pre-registration information.

Fields marked (*) are required

Name:*
Company:
Address:

Phone:*
Email:*

Select one of the following options that apply:

I will attend and send a check payable to PBN.

I will attend and pay at the door (cash or check to PBN only).

I cannot attend but will send a donation via check*.
[Mail check payable to PBN to: PBN, c/o Bruce Zanar, 578 King Road, Royersford, PA, 19468]

Pay and/or donate* via credit card.
[You will be able to pay with credit card on the following page.]

*Note: Donations are NOT deductible for tax purposes, but attendance may be deductible as a business expense. Check with your accountant.