Build A Better Board

Enter the information below separately for EACH person you wish to register.

Registration Fees
Please note that filling out this form does NOT complete your registration; to reserve a place you MUST mail a check (payable to the "Treasurer of the State of New Jersey") to the address below.

When sending your check, if you are paying for more than one registrant, please note the name of each person for whom you are paying on the check, or include a note with your check. Please mail your check so that it arrives at the Commission 2 business days in advance of the event. If unpaid registrants have not communicated that they will not attend, or that they will bring a check to the conference, the Commission will not order food for them.

Mail Your Check to:
The New Jersey Historical Commission
PO Box 305
Trenton, NJ 08625
Attention: Best Practices Workshop

ADA Accessibility
The workshop will be held at an accessible site. If you are in need of assistive listening devices or require any other assistance, please contact Jan Field at (609) 984-0954 or by email at janet.field@sos.nj.gov.

For more information on the program, questions, directions, and parking information, visit the New Jersey Historical Commission website at www.history.nj.gov.

Question Title

* 1. Name of Individual Registrant

First Name

Last Name

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* 2. Organizational Affiliation (if any)

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* 3. Address

Street, Apt.

City

State

Zip

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* 4. Phone

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* 5. Email address

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* 6. Please indicate which workshop you will attend. Select one from the list below.

September 28, 2015, Monmouth County Library, Manalapan, NJ

September 29, 2015, Haggerty Education Center, Morristown, NJ

September 30, 2015, Atlantic County Library, Mays Landing, NJ

Question Title

* 7. Administrative Use Only - Registrant Paid

Yes

Staff

Other (please specify)