Southern New Jersey Chapter of ASHI®
EDUCATIONAL SEMINAR
Advance Registration Form


Wednesday, April 30, 2008
7:30 am - 4:30 pm

Location: RAMADA INN, 609-298-3200
Route 206n, Bordentown, NJ
Exit 7 - NJ Turnpike;
Near the Intersection of Routes 206 and 130

TOPICS:
• PLUMBING BASICS AND BEYOND
• LOW SLOPE ROOFING SYSTEMS
Register Early! Attendance Limited to 100

If you have any questions, please call:
Rick Lobley at (609) 208-9798
or e-mail info@southernnjashi.com
Cost:
Pre-registered before April 15, 2008  
ASHI Members/Associates
& NJALPHI Members:
$ 95.00
Non Members: $ 110.00
Late Registration after April 15, 2008 $ 125.00
Walk-ins (There might not be seats available) $ 125.00


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Registration Form

Name (as it appears on your H. I. License): ___________________________________________________

Company: ____________________________________________________________________________

Address: _____________________________________________________________________________

City, State, Zip: ________________________________________________________________________

Phone: __________________ Fax: __________________ e-mail: ________________________________

NJ Lic. # ___________________________________________ ASHI # ___________________________

PLEASE MAKE CHECK PAYABLE TO: Southern NJ ASHI
MAIL CHECK AND REGISTRATION FORM TO:
Rick Lobley, President, Southern NJ ASHI,
6 Robinson Road, Allentown, NJ 08501



Amount Enclosed: $__________
-Thank you