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Newborns in Need |
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Registration Deadline – March 1, 2008 Note: All registration forms are to be sent to the Newark Chapter address. This includes not only those sending personal checks but also those paying by credit card/Pay Pal. Newark Chapter A confirmation email from the Newark Chapter will be sent when your registration is received. Name: _________________________________________________________________ Home Address: (please be sure to include city, state and zip code) ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Email Address: ___________________________________________________________ Phone: (day): (evening): _________________________________________________ Chapter Name: __________________________________________________________ Board Position: __________________________________________________________ Registration fee enclosed: __________ $ 120.00 Sts. Peter and Paul Retreat House __________ $ 60.00 Area Hotels __________ $ 15.00 Spouse attending Friday banquet OTHER: How long have you been volunteering for NIN? _______________________________ How many conventions have you attended? __________________________________ Please list your t-shirt size: ________________________________________________ Since there are only four classes, everyone will be signed up for each class. Please check the following:
(Check Schedule page for complete information on classes) Please provide us with the following information Arrival (date/time): _________________________________________________________ Mode of Transportation: ____________________________________________________ If staying at hotel – rooming with: ____________________________________________ Special Dietary Needs: _____________________________________________________ A REMINDER Don’t forget to bring a 6 ˝” Pink and a 6 ˝ “ Blue Print cotton square If you have questions regarding convention, please email us |
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