Fill - Free fillable 2019 NESSA Annual Meeting Registration Form Revised PDF form

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heast Shellfish

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on,andwill

be$65.00

5:00pm

–

eception.If

includeth

ion.

thyourpa

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inuteregist

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ing,please

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atHotel1

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erperson.

–

7:00pma

youwouldl

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mentinth

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ationswill

ayhavean

nd5:00pm

508‐742‐97

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n9:00ama

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on

Association

20Plymou

akfast,lunc

dwillinclu

ketoatten

feeof$25.

formofac

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eaccepted

accurateh

Themeeti

7orbye‐

trateof

nd6:00pm

eNESSA

.comand

thedayof

to

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,

0.

heck

ted.

at

ad

g

ail

and



Parking:

ParkingisincludedforthedurationoftheNESSAconference.Ifcallingthehotel,noparkingfee

willbeassessed.However,aparkingfeewillbedisplayedforallon‐linereservations;thisfeewill

bemanuallyremoved(byhotelstaff)fromreservationspriortohotelcheck‐in.



FieldTriponApril11th:

ConferenceattendeeswillhavetheopportunitytoparticipateinafreefieldtriponApril11

.At

thistime,wehaveplannedtoursatalocalshellfishhatcheryandoystergrowerinDuxburyanda

surfclamprocessingplantinNewBedford.Additionalinformationwillbeprovidedatthe

conferenceandindividualswillbeabletosignupforoneofthescheduledtoursatthattime.



AreaInformation:

Areainformationonlocalattractionsanddiningwillbedistributedwithyourwelcomematerials

attheon‐sitemorningregistrati on/check‐in.



Northe

Sanitat

Please c

Questio

Mailing

Personal

First Na

Organiz

Street 1:

Street 2:

City:

Phone #:

e-mail a

Please s

you will b

box and

2 D

1 D

st Shellfish

ion Association

mplete this f

s: Tom Sh

Lynne B

ddress:

Information

tion:

dress:

lect for 1 da

attending. I

ote there is

ays: $125.00

ay: $65.00…

yment is re

lease make

rm and retu

elds by e-m

esse by e-m

ynne Besse

ESSA Coor

ivision of M

36 S. Rodne

ew Bedford,

(Please prin

Infor

or 2 days re

you plan on

n additional

..For 1 Day r

uested prior

hecks paya

201

Hot

n it by April

il: Thomas.s

il: lynne.bes

inator

rine Fisherie

French Blv

02744

clearly)

ation as it

Oth

gistration. If

attending th

25 fee.

gistration, s

o April 5, 20

le to: NESS

Annu

el 1620

Ply

REGIST

REGIS

, 2019 via m

ields@mass

e@mass.go

will appear

ast Name:

Address

tate:

er Informati

Cell

ou are regis

evening rec

Evening Re

lect which d

9, but will b

(Northeast

l NESS

l 9

– 1

Plymou

outh,

RATION F

RATION

il, e-mail or

.gov or telep

v or telepho

Fax: 50

n Name Ba

Zip

hone:

ering for 1 d

eption on Ap

eption, April

pri

accepted a

hellfish San

Meeti

th Harb

EES

ax.

one: 508-74

e: 508-742-

-990-0449

code:

y, please in

ril 9

, check

from, 5 –

l 9

the door by

tation Associ

2-9767, or

755

icate which

he appropria

pm: $25.0

April 10

heck only.

ation).

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