30th Annual New Hampshire Partners in Education Celebration of Volunteers

30th Annual
New Hampshire Partners in Education
Celebration of Volunteers

Tuesday, October 25, 2011
9:00 - 11:30 AM
Registration and Pictures 8:00 AM
Radisson Hotel - Convention Center
700 Elm Street, Manchester, NH 03101
Tel # 603-625-1000
www.radisson.com/manchesternh

Registration
(Must be received by October 14, 2011)

* If you are completing the registration for Blue Ribbon Attendees only, please complete sections A and B

* If you are completing the registration for Gold Circle Partnerships only, please complete sections A and C

* If you are completing the registration for both Blue Ribbon Attendees and Gold Circle Partnerships, pleasecomplete sections A, B, and C

Section A (All Attendees):

* School

SAU

* Contact Name

Phone

Email

Or:

Contact Name

Company/Organization

Phone

Section B (Blue Ribbon):

Names and titles of individuals who will be attending: The cost of the first two individuals' admissions were paid as part of the initial application process. Additional attendees - $25.00 per person ($30.00 after October 14th)

Name

Title

Name

Title

Name

Title

Name

Title

Name

Title

Please make checks payable to NH Partners in Education and return to: NH Partners in Education, P.O. Box 2758, Concord, NH 03301. The due date for payment is Friday, October 14th.

Section C (Gold Circle):

Names and titles of individuals who will be attending: The cost of the first person's admission was paid as part of the initial application process. Additional attendees - $25.00 per person ($30.00 after October 14th)

Name

Title

Name

Title

Name

Title

Name

Title

Name

Title

Please make checks payable to NH Partners in Education and return to: NH Partners in Education, P.O. Box 2758, Concord, NH 03301. The due date for payment is Friday, October 14th.

Thank you! We are looking forward to seeing you at the event!

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