The American
Boxwood Society
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| 50th Boxwood Symposium and Annual Meeting October 15-16, 2010 Newark, Ohio REGISTRATION FORM Name(s): _____________________________________________________________ Address: _____________________________________________________________ City: ________________________________________________________________ State: ____________ Zip Code: ________________ e-mail: _______________________________________________________________ Home Phone: ______________________ Office Phone: _____________________ The e-mail address and phone numbers will be given out on the attendee handout at the Symposium to fellow attendees. If you do not wish your information to be printed on this handout please check the box below and only your name will appear. o I do not want my e-mail address and phone number distributed on attendee handout. REGISTRATION & PAYMENT INFORMATION Registration Fee is $250 per member and family Registration Deadline is September 15, 2010 Method of payment (check one) For credit card payment _ _ _ _-_ _ _ _-_ _ _ _-_ _ _ _ CV# ______ (back of your card)Expiration Date_________________________ Signature ______________________________________________________ Mail to: Jeff Miller, Boxwood Symposium Registration Click here to print a copy of this form HOTEL INFORMATION You are responsible for your own hotel reservations Please mention that you are with the American Boxwood Society Registration Deadline is September 15, 2010!
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