Dec 9, 2019, 21:14

Individual Registration

Please enter information in the form below to process your registration for the Leadership Conference Presenter.

First Name *

Last Name *

Organization *

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Master Classes

Lobster Boat Tour #1 3:00 p.m. - $25

Lobster Boat Tour #2 3:30 p.m. - $25

Shipyard Brewery plus beer/cheese pairings - $25

Beginner Chocolate Session (morning) - $25

Advanced Chocolate Session (afternoon) - $25

Payment Information

Amount

$

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Authorize.net Please Bill Me

Credit Card Number*

Expiration Date*

/

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