REGISTRATION FORM



REGISTRATION FORMCOA Annual MeetingMarch 21, 2020, Middlesex Community CollegeChapman Hall, Middletown, CTPLEASE NOTE: Your registration fee includes breakfast:Muffins, scones & bagels, Birds & Beans coffee, tea and juiceAND a light lunchAssorted wrap sandwiches, tossed and pasta salads (including vegetarian andgluten-free options), cookies, cake, water and iced tea.Registrations must be postmarked by Tuesday, March 10, 2019 for lunch to beincluded.The registration fee for “walk-ins” on March 21 will be the same as below.Registration fees:COA Members: $37.00 per personNon-Members: $47.00 per personStudents: $27.00 per person------------------------- detach here and return bottom portion -------------------------COA Members: ______ Persons @ $37.00 $___________Non-Members: ______ Persons @ $47.00 $___________Students: ______ Persons @ $27.00 $___________ TOTAL $___________Please print name(s) as you would like to have it/them appear on name tag(s)Name(s)_________________________________________________________________Include address etc. only if NOT currently a COA memberAddress_________________________________________________________________Phone________________________ Email_____________________________________Send check made out to “COA” and form to: Connecticut Ornithological Association, 314 Unquowa Road, Fairfield, CT 06824 ................
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