Host a Networking Mixer Application

Interested in hosting an

Networking Mixer?

Just fill out the application below, pick a date, and click submit!

Fields marked with an * are required.

Main Contact Information

Organization *

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

State *

Postal Code *

Phone *

Email *

Networking Mixer Information

Networking Mixer Date *

Payment

Mixer Fee *

There is a $100 non-refundable fee to host an Afterfive Mixer with the Crystal Lake Chamber of Commerce. Please indicate how you would like to pay this fee below:

Credit Card

Check

Credit Card Number

Credit Card Expiration Date

Credit Card CVC

Credit Card Billing Zip Code

Please verify that you have checked the “I'm not a robot” checkbox.