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National Chrysanthemum Society - 2011 Annual Convention

REGISTRATION FORM

Download Registration Form to Print.

Please complete the NCS Convention Registration form. Make your check payable to NCS.

Mail both to: Richard Heeseler, NCS Treasurer, 2146 Brookside Ave., Wantagh, NY 11793-3850.

Email: convention.registration@mums.org.

Convention registration must be postmarked by midnight October 4, 2011, to avoid the late registration fee.

Hotel reservations are to be made directly with the Hilton Garden Inn. See "Accommodations" on the website or "Hotel Accommodations" in the June issue of The Chrysanthemum.

Please send your NCS reservations in early! If the tour is undersubscribed, it will be cancelled. If cancelled, your payment will be refunded. Questions about the tour? Contact Galen Goss at galen.goss@mums.org

Name(s) __________________________________________________________________________________
Phone _____________________________ E-mail _______________________________________
Address __________________________________________________________________________________
City ______________________________ State _____________ Zip _______________

Name 1 for badge: ________________________________________________

NCS Official (please circle) Officer Director Committee Chair Local Chapter Officer

Name 2 for badge: _________________________________________________

NCS Official (please circle) Officer Director Committee Chair Local Chapter Officer

Chapter Affiliation(s): ________________________________________________

FUNCTION AND FEES (Shown Per Person) Cost x Number = Sub Total
Registration per person (postmarked by 10/04/2011) $40.00 __________ __________
Late Registration (postmark after 10/04/2011) $50.00 __________ __________
Buffet Banquet Saturday Evening $50.00 __________ __________
Vegetarian meal required ________
(indicate number)
Tour #1 Philadelphia $50.00 __________ __________
GRAND TOTAL (check encl, thank you)   __________
Special Needs: Food Allergies ____________ (specify) Other _______________

If you plan to enter Division II Design contact the chairperson by the required date. See the June issue of The Chrysanthemum for details.

I (_____________) volunteer (please circle) for aide/clerk classification registration silent auction host/hostess Insert name

I (_____________) volunteer (please circle) for aide/clerk classification registration silent auction host/hostess

I will have a car available - personal or rental. Cars will be used to transport attendees from the hotel to Longwood Gardens. (please circle) Yes No

Disclaimer: The National Chrysanthemum Society Inc. USA, Longwood Gardens, Inc., and the Hilton Garden Inn Kennett Square will not be responsible for the safety of persons or personal property, although all reasonable care will be taken for the protection of both.


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Last update 07-May-2011
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