Enter the information below separately for EACH person you wish to register for the 2015 Annual Conference on November 21, 2015 at Rutgers, Newark.

Registration Fees
The registration fee is $35. Please mail a check of $35 to the Commission.

Students
If you are a student offering to volunteer there is no charge to attend; if you would like to attend without volunteering you may, but we will have to charge $15.00 for lunch. Students may also choose get lunch on their own to avoid any charges.

Please note that filling out this form does NOT complete your registration; please mail a check (payable to the "Treasurer of the State of New Jersey") to the address below NO LATER THAN November 16, 2015.

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.

Mail Your Check to:
The New Jersey Historical Commission
PO Box 305
Trenton, NJ 08625
Attention: 2015 New Jersey Forum

Cancellation Policy
Cancellations must be received in writing by close of business on November 19th. Registrants who do not inform the Commission of cancellation will be responsible for payment even if they do not attend. Please contact Jan Field at janet.field@sos.state.nj.us to canel your registration.

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

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

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* 1. First Name

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* 2. Organizational Affiliation (if any)

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* 3. Address

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* 4. Phone

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* 5. Email address

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