Power Women Luncheon 11:30 am - 1:00pm Tuesday, October 25th Bella Milano 455 Regency Park, O’Fallon Hear from local Leaders about their road to success, passion and power across industries and generations that have redefined pathways to bring meaningful change in their business, personal lives and our local communities. # of reservations ____@ $20 per HBA Member includes lunch and soft drinks Company Name: __________________________________________________________________________________________ Phone# & Email: _________________________________________________________________________________________ Name(s) of attending: ______________________________________________________________________________________ ___Amount enclosed or payment below ___Will pay at the door (no shows will be invoiced) Charge to Visa/MasterCard Number*: __________________________________________ *credit card payments will include an additional 4% convenience fee ___Invoice company Exp Date ______ Signature _____________________________________ –or- Fax to: Mail to: HBASWIL, 6100 W. Main Street, Maryville, IL 62062 (618) 343-6335 -or– email to tbutler@hbaswil.org HBA Policy: Registration for the HBA Event is considered confirmation of your participation and will be invoiced if cancellation is not made within 3 days of the event. 11

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