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HumanLight Registration - NJHN Celebration

Saturday, December 12, 2015
11:30 PM - 3:30 PM

This year's event is at:
Madeline's on Vosseller
518 Vosseller Ave
Bound Brook, NJ 08805
(map and directions)

Reservations are required to attend.
Please RSVP as early as possible, and no later than December 6th
.

If you have any questions about the event, contact Lisa Ridge at njhn.org at gmail.com or call 732-649-8984.

Complete the form below to reserve seating for you, your family and friends. Items marked by an asterisk (*) are required. New Jersey Humanist Network will NEVER release your name, address, phone number or email address to any other organization, commercial or otherwise.

Admission
Current (paid) members of NJHN
$35.00
Non-members
$45.00
College Students / Limited Means (paid members only) $20.00
Children up to age 17, accompanied by an adult:
Free

Use this form only if you plan to mail a check by December 6, 2015 or pay at the door.  Use this link to pay online.


Make checks payable to New Jersey Humanist Network

c/o Tim Ridge, Treasurer
29 Wardman Ave
Ewing, NJ 08638

Name (First, Last)*
Spouse/Partner (First, Last)
Total Adults*
Total Children
Street Address*
 
City*
State/Province*
Zip Code*
Phone (###-###-####)*
Email*
Guest Names
 
Special Dietary Needs?
Intended Payment method*
 
 
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