|
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.
|