2006 - NECC-1009 / NC-140 Annual meeting
Registration Form-New Jersey Host

First Name

Last Name

University/Organization

Address

City

State/Province

ZIP/Postal Code

Country

Phone

Fax

E-mail Address

Are you a member of the NECC-1009, or NC-140 groups (or both)? Select

Please select which meeting(s) you will be attending. Select

Will you be attending the NC-140 dinner on Monday evening? Select

Will you be going on the Sunday Farm Market/orchard field trip? Select

Please enter your total amount due $

Do you require transportation from the ABE/Lehigh Valley airport to the hotel in Flemington? (app. 50 miles) Select

Date/Time of arrival

Airline

Flight number

If you are driving will you be able to transport others to the meeting from the hotel (12 Miles)?

If yes how many?

Payment can be made in advance (preferred) by check and should be received no later than October 30, 2006. Please note - credit cards and debit cards will not be accepted.

Make checks payable to Agricultural Advisory Council
Note: Payment is for NECC-1009/NC-140 meeting expenses and not a “registration fee”

Send check payment to:
Win Cowgill
P.O. Box 2900
Flemington, NJ  08822-2900