2007 Ben Franklin Emerging Business Awards

Bennies Cocktail Reception Registration

Registration For the Ben Franklin Emerging Business Awards Reception
$50 per person

Attendance at the Bennies Only entitles the ticket holder to also attend the Tuesday, April 22 cocktail reception (5:00 pm –7 :00 pm)

If you are already registered for the Angel Venture Fair as an Investor, “The Bennies Awards” & evening cocktail reception are included in your ticket price.

If you are an investor and wish to register for the entire Angel Venture Fair event, please use the AVF Investor Registration Form.

	Full Name*
	Title
	Company Name
	Address*
	City*
	State/Province*
	Zip Code*
	Phone Number*
	Fax Number
	Email Address*
	Website URL
	Type of Registration*
	If other, specify:

	Affiliation*
	If Member, Then Which Angel Group?
	Other Angel Organization
	Type of Ticket*
	Payment Amount*
	Type of Payment*
	Credit Card Type
	Name on Card
	Card Number
	Expiration Date
	Security Code

I have read and are fully aware of the registration and cancellation policies for AVF.

Please Note: The charge will appear listed on your itemized credit card statement as "Angel Venture Fair."

Check
If paying by check, please complete the registration process online and mail your payment to the address listed below. Payment must be received prior to the event in order to qualify for the discount.

Make Check Payable to “Angel Venture Fair ”
Annual Angel Venture Fair – 2008
224 Pine Street, 3rd Floor Harrisburg, PA 17101
Tel: 717-238-1222 Fax: 717-238-9512
Email: vgaydos@51st.com