110th Annual Meeting

Saturday, September 17, 2011
Mountain View Grand Hotel, Whitefield

Registration

Pre-registration is required. Space is limited, so please register early.

The cost to attend is $60 per person.

This form can be filled out and printed from your internet browser. It cannot be used to register online. For online registration, please use the form at forestsociety.org/thingstodo/annual-meeting/registration.asp.

To register by mail, print and complete this form and send it to Tina Ripley, Forest Society, 54 Portsmouth St., Concord, NH 03301.

Field trip details are available at forestsociety.org/thingstodo/annual-meeting/field-trips.asp.

For telephone registration or questions, contact Tina Ripley at 603-224-9945 or .

My information

*Name

*Address 1

Address 2

*City

*State/province

*Postal code

*Email address

*Telephone, daytime

()-

*Telephone, evening

()-

*Number of attendees

Entrees: please select an entree for each member of your party and enter the counts below.

Pan-seared salmon

Filet mignon

Wild mushroom crepes

Field trips

First choice field trip

Second choice field trip

Credit card information

*Credit card

Mastercard

Visa

*Name on card

*Card number

*Expiration date

*Security code

The security code is a 3-digit number on the back of your credit card after the signature area. If there are other numbers in this area, the security code is the last 3 digits.

Other Instructions

Note: Required fields are marked by a red *