NEHW REGISTRATION

Hawk Migration Conference - April 2, 2011
Holyoke Community College, Holyoke, MA

Please print out and complete this form, and mail to Joe Wojtanowski with
your check. We cannot accept registration by email.

Name _______________________________________________
Affiliation ____________________________________________
Address ______________________________________________
City _________________________________________________
State _________________________ Zip ___________________
Phone _______________________________________________
email ________________________________________________

Registration Fee:
                 Number attending          ______ @ $34.00 each (member)        = ___________

                                                           ______ @ $40.00 each (non-member) = ___________
                                        (Registration includes refreshment breaks.)

Optional Lunch:

   Sandwich Platter Buffet (choice of meats)                #______ @ $11 each = __________
   Vegetarian (Veg&Boursin Sandwich w grilled vegs) #______ @ $11 each = __________

NEHW Membership: _____ years @ $10/ year = __________

TOTAL ____________

Make checks payable to NEHW and mail to Joe Wojtanowski, PO Box 142, Poquonock CT 06064.
Include a SASE if you would like a confirmation letter.
Register Early! Free one page hawk calendar to the first 40 people who register.
(Pick up the calendar at the conference.)