Directions: Complete for each person attending the convention.

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* 1. What is the first and last name of the person registering for the event?

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* 2. What is the person's title?

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* 3. What is the person's email address?

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* 4. What is the name of your municipality?

Payment Directions:

After you've finished all registrations, send a check for the total amount ($25 per person) to the following address before the event:

Bucks County Association of Township Officials
1300 Horizon Drive, Suite 106
Chalfont, PA 18914

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