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Welcome to the Jewish Business Network Form

   UPCOMING EVENT WEDNESDAY DEC 11, 2019, 7:30 - 9:30 AM
Hosted at Rubie Corporate Plaza. Address: 400 Broad Hollow Road, Melville, NY 11747
For more information call (631)-827-6599

First Name
Last Name
Company Name
Primary Contact Title
Address
City
Zip Code
Email
Phone
Web Site *

Business Type * 

Professional
Financial
Trades

Business
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Business Description *

To suggest a new category please email JBN@MelvilleChabad.com
*optional ..... ..... ..... ..... ..... ..... ..... ....; ..... ..... ..... ..... ..... ..... ..... ..... .... ..... ..... ..... .....

Register for the Dec 11, event (RSVP Today to ensure a spot)

 Register
- $50
 VIP Admission - $100
 RSVP with Promo Code  - Promo
 Annual Membership - Includes event as VIP - $720
 Corporate Sponsorship - Click option below  

*VIP can bring two guests at no charge.............................................................................

  First and Last Name -  Company Name & Description
1 Name Company
2 Name Company
3 Name Company
Corporate sponsorship opportunity Silver: $500 Gold: $1000 Diamond: $3000
Sponsorship gives you an unparalleled opportunity to showcase your business 
directly in front of JBN's elite group of LI top CEO's and business leaders.
Click Here to learn more about corporate sponsorship

Payment Options: (card number has to be entered even if using promo code)  .... ...........
VISAMasterCardAmerican Express
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Card No. 
Card Zip Code:
Card Expiration: mm yyyy
CCV Code:

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