General Membership Luncheon – Payed Processing

June General Membership Luncheon

Thursday, June 15th
11:30am-1:30pm

Nyack Seaport

21 Burd St., Nyack

$50 for members — $60 day of/at the door
Future Members $70 per person
Registration Required for all attendees
These are our discounted cash and check prices. Please see the Card Prices below.
We will do our best to accommodate special meal requests received by Tuesday, June 13th. Additional charges may apply.

Sponsored by Electronic Office Systems

Checks Made Payable to: Rockland Business Association
Mail to: 9 N. Mill Street, Suite 103, Nyack, NY 10960
or pay securely online with Credit Card

"*" indicates required fields

Attendee Name*

First Last

Company Name*

Email*

Phone Number*

Are you an RBA Member?*

Yes I am ($50 Cash/Check and $51.75 w/ Card)

No I am not ($70.00 Cash/Check, $72.45 w/ Card)

Ticket price for members change to $60 Cash/Check and $62.10 for Cards on the day of the event / at the door
Ticket Prices are Per Person

How many attendees*

Guest/Guests Names*

Optional: Do you have a special Meal Request?

Yes

We will do our best to accommodate special meal requests received by Tuesday, June 13th. An additional charge may apply.

Special Meal Request Information*

How would you like to pay?*

Pay by Check

Pay Online by Card

Check Payment

Price: $0.00

Checks Payable to: Rockland Business Association Mail to: 9 N. Mill Street, Suite 103, Nyack, NY 10960

Card Payment

Price: $0.00

Cash/Check prices are discounted. Please see prices listed above.

Payment Information

Name on Card*

First Last

Billing Address*

Street Address Address Line 2 City State ZIP Code

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Total

Comments

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June General Membership Luncheon

Thursday, June 15th 11:30am-1:30pm

Nyack Seaport

These are our discounted cash and check prices. Please see the Card Prices below.

Payment Information

Thursday, June 15th
11:30am-1:30pm