This is an online registration form for NHLTA's Trustee Orientation Workshop, scheduled for June 11, 10am-1pm at the NH Municipal Association Building, 25 Triangle Park Drive in Concord. Please fill in all sections below. You may register up to three individuals on this form. For additional registrants, please use a second computer, as the survey will accept only one submission per computer.

Registrants will receive a confirmation email, as well as a reminder email one week before the event.

NHLTA will provide morning refreshments and workshop handouts. Directions to the site will be posted on the NHLTA website, www.NHLTA.org.

Please contact NHLTA if you must cancel your attendance.

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1. Name of Registrant (first/last)

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2. Street Address

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3. City/Town

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4. Zip Code

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5. E-mail address. We will send the confirmation and other information to this address.

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6. Your Library

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7. Do you wish to register a second individual?

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