418 Main Street
Lemont, IL 60439
t: 630.257.5997
f: 630.257.3238
e: info@lemontchamber.com




Dinner Dance Sock Hop

Company Name:
*
Your Name:
*
Primary Phone:
*
Fax Number:
*
Alternate Phone:
E-Mail:
*
Toll-Free Phone:
Website:
Cell Phone:
Address:
*
City:
*
State:
*
Zip:
*


Guest Information:

How Many Guests $ 50
How Many Tables of 10 $500


Guest List: (Enter Names)

Guest 1
Guest 2
Guest 3
Guest 4
Guest 5
Guest 6
Guest 7
Guest 8
Guest 9
Guest 10

Please make checks payable to:

Lemont Area Chamber of Commerce
101 Main Street
Lemont, IL 60439-3675
630.257.5997
Fax 630.257.3238