NJMCA Pesticide Training Course - Registration Form

Name

Affiliation

Address

Phone #

Email

Course location and date you will attend:  (select one)

Resorts Casino, Atlantic City :  Tuesday, 11  March 2008 

Crowne Plaza,Monroe Twsp, 25 March 2008

Others attending from your affiliation for this date:

Please make checks payable to: NJMCA

Cancellations must be no later than 48 hours prior to the meeting date.

Smoking is prohibited in the meeting room.

Payment Amount Due ($70.00 per person):

Please send payment by 12 February 2008 to:

Attention: Heather Lomberk

Cumberland County Mosquito Control Division

800 E. Commerce St, Bridgeton NJ 08302

 

Phone: 856-453-2170, Fax: 856-459-9692

You can reach Heather Lomberk at 856-453-2170 for answers to your questions about registration. Cancellations and switching attendance locations must be received no later than 48 hours prior to the meeting date. Smoking will not be allowed in meeting rooms.