Panel Discussion: 2:30 p.m. | Networking Cocktail Reception: 4:30 - 6:30 p.m.Whether you're an entrepreneur looking to start a business or an intrepreneur delivering value to colleagues and clients,

understanding entrepreneurial skills can drive your success. Join us and learn from our panel of experts.BRBC Member Pricing: $85 per person | General Admission: $110 per person

Please Register by April 21, 2017 | Register at www.brbc.org or Call 203.335.3800

Keynote Speaker | Lunch 1:00 p.m. Themis Klarides, Attorney at Law, Cohen & Wolf, P.C.House Republican Leader, Connecticut House of Representatives

Presenting Partners

ModeratorMary Beth Nelsen

President, The Right ResourceChairman BRBC's Women's Leadership Council

PanelistTorise Baker

101 Things 2 Do.com

PanelistRamon Peralta

Founder & Creative DirectorPeralta Design

PanelistDr. Ileana Kotulich

Independent Sales DirectorMary Kay

PanelistTom Ginis

Poppy's Cheesecakes

Event Sponsors

Professional Development WorkshopFriday, April 28, 2017 | Housatonic Community College | 900 Lafayette Boulevard, Bridgeport

BRIDGEPORT REGIONAL BUSINESS COUNCIL WORKSHOPFriday, April 28, 2017 | Housatonic Community College

REGISTRATION: Payment due with registrationPlease check the identification below that applies. General Admission refers to companies and individuals who are not members of the Bridgeport Regional Business Council.

BRBC MEMBER COMPANY GENERAL ADMISSION

2. ORGANIZATION INFORMATION

Organization Name: ___________________________________________

Address: _______________________________________________________

City: ____________________________ State: _________ Zip: ___________

Phone: ___________________________ Fax: _________________________

Approving Individual's Name: __________________________________

Job Title: _______________________________________________________

Email: __________________________________________________________

3. NAMES OF ATTENDEES:

#1 Attendee Name: _________________________________________

Email: __________________________________________________________

#2 Attendee Name: ________________________________________

Email: __________________________________________________________

NAMES OF ATTENDEES: CONTINUED

#3 Attendee Name: ________________________________________

Email: __________________________________________________________

#4 Attendee Name: ________________________________________

Email: __________________________________________________________

#5 Attendee Name: ________________________________________

Email: __________________________________________________________

#6 Attendee Name: ________________________________________

Email: __________________________________________________________

#7 Attendee Name: ________________________________________

Email: __________________________________________________________

#8 Attendee Name: ________________________________________

Email: __________________________________________________________

#9 Attendee Name: _________________________________________

Email: __________________________________________________________

#10 Attendee Name: _________________________________________

Email: __________________________________________________________

METHOD OF PAYMENT: Payment due with registrationRegister online at www.brbc.org or make checks payable to the Bridgeport Regional Business Council and return with this form to: Bridgeport Regional Business Council | Attention WLC | 10 Middle Street, 14th Floor | Bridgeport, CT 06604.

Total Amount Due: $ ________________________________ Check #: ___________________ (Is Enclosed)

Charge to: AmEx MC Visa Expire Date:________ Card #: ______________________________________________________________

Card Holder's Name:_______________________________________________________________________________________________________________

GENERAL ADMISSION: FULL PROGRAM Includes Lunch/Keynote, Panel/Workshop, and Cocktail Party

Full Program $110 pp# Registrants ______ $( ) Total $ ______

BRBC MEMBER: FULL PROGRAM Includes Lunch/Keynote, Panel/Workshop, and Cocktail Party

Full Program $ 85 pp#Registrants ______ $( ) Total $ ______

1. YES! Please register me (my company) for the Business Workshop as noted below.

BRBC MEMBER: COCKTAIL RECEPTION ONLYCocktail Reception (4:30 - 6:30 p.m.) $ 25 pp

# Registrants ______ Total $ ______

GENERAL ADMISSION: COCKTAIL RECEPTION ONLYCocktail Reception (4:30 - 6:30 p.m.) $ 35 pp

# Registrants ______ Total $ ______

R E G I S T E R O N L I N E A T B R B C . O R G F A X F O R M : 2 0 3 . 3 6 6 . 0 1 0 5 C A L L : 2 0 3 . 3 3 5 . 3 8 0 0 T O R E G I S T E R O R E M A I L F O R M T O : P A O L E T T A @ B R B C . O R G

B r i d g e p o r t R e g i o n a l B u s i n e s s C o u n c i l 1 0 M i d d l e S t r e e t , 1 4 t h F l o o r , B r i d g e p o r t , C T 0 6 6 0 4 W o m e n ' s L e a d e r s h i p C o u n C i L