NCS CONVENTION REGISTRATION FORM

 

Please complete form (print or type), make your check payable to NCS, and mail both to:

Richard Heeseler, 2146 Brookside Ave., Wantagh, NY 11793-3850.  Phone: 516-826-1267; e-mail: convention.registration@mums.org. 

Convention registration must be postmarked by midnight September 4, 2009, to avoid the late registration fee.

 

Name(s) ___________________________________________________________________________

 

 

Phone ______________________________    E-mail ______________________________________

 

 

Address ___________________________________________________________________________

 

 

City _________________________________   State ___________        Zip ____________________

 

 

Name(s) for Badge(s) ______________________________ /_________________________________

 

 

Chapter Affiliation(s) _______________________________________________________________

 

 

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

 

 

FUNCTION AND FEES (shown per person)

Cost          x

Number    =

Subtotal

Registration per person – Postmarked by 9/04/09

$40.00

________

___________

Late Registration per person-Postmarked after 9/04/09

$50.00

________

___________

Awards Banquet – Saturday – 10/18/08

$45.00

________

___________

 

TOTAL

 

___________

 

AWARDS BANQUET – Please indicate the number of each:

Prime Rib ______  

Local Rainbow Trout Broiled ________

Vegetarian Lasagna _________

 

TOURS:

Tour #1

Biltmore Estate – Thursday, 10/15/09

$60.00

_________

__________

Tour #2

Trolley Tour Asheville – Thursday, 10/15/09

$40.00

_________

__________

Tour #3

Folk Art Center (incl. lunch) – Friday, 10/16/09

$35.00

_________

__________

Tour #4

Biltmore Estate – Sunday, 10/18/09

$60.00

_________

__________

Tour #5

Waterfall Tour DuPont Forest – Sunday, 10/18/09

$35.00

_________

__________

 

GRAND TOTAL

 

 

__________

If tours are oversubscribed, reservations will be assigned in the order received.  Tour reservations are non-refundable after 09/30/09.  Questions? Contact Ed Norton cell 828-593- 7369, or cell 239-989-8471, or ed.norton@mums.org.

 

 

SPECIAL NEEDS:

 

Food Allergies ___________________

 

Other _________________________

 

 

I/We plan to bring __________________________________________for bidding at the Silent Auction.

 

I/We volunteer (please circle)  Aide/Clerk            Classification               Registration         Silent Auction

 

VERY IMPORTANT Are you planning to drive?  YES_____   NO _____

 

DISCLAIMER: The National Chrysanthemum Society, Inc. USA, the North Carolina Chrysanthemum Society, and the Holiday Inn Asheville Airport will not be responsible for the safety of persons or personal property, although all reasonable care will be taken for the protection of both.


Last update 03-May-2009
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