Southern New Jersey Chapter of ASHI®       EDUCATIONAL SEMINAR       Registration Form

Wednesday, March 21, 2012
7:30 AM - 4:30 PM

Register Early!
Attendance Limited to 125

TOPICS:

MODULAR/MANAFACTURED HOMES
STUCCO, MASONRY, VENEER, & MORE
ROOFING STAINS/DAMAGE
SPECIALTY ROOFING
If you have any questions, please call:
Rick Lobley at (609) 208-9798
or email info@southernnjashi.com
Pre-registered before March 1, 2012 $ 95.00
Late Registration after March 1, 201212 $110.00
Walk-ins (There might not be seats available) $110.00
Vendors $200.00
LOCATION: RWJ Hamilton Conference Center 3100 Quakerbridge Road, Mercerville, NJ in Clover Square Shopping Plaza


If you have any questions, please call: Rick Lobley at (609) 208-9798 or e-mail info@southernnjashi.com
Registration Form
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Name (as it appears on your H. I. License): ___________________________________________________

Company: ___________________________________________ Phone: __________________________

Address: _____________________________________________________________________________

City, State, Zip: ________________________________________________________________________

E-mail: ________________________________________________ NJ Lic. # 24GL000_______________
PLEASE MAKE CHECK PAYABLE TO: Southern NJ ASHI
MAIL CHECK AND REGISTRATION FORM TO:
Rick Lobley, SNJ ASHI,
6 Robinson Road,
Allentown, NJ 08501

 Amount Enclosed: $__________


-Thank you