PRE-REGISTRATION IS REQUIRED IF YOU PLAN TO ATTEND THE CONVENTION OR ANY PORTION OF THE CONVENTION.  PLEASE COMPLETE AND RETURN THIS FORM TO HELEN LIVETON BEFORE MAY 23, 2003.  AFTER THAT DATE THERE WILL BE A $5.00 LATE REGISTRATION FEE.

Member(s) Attending: __________________________________________________________________

____________________________________________________________________________________

Address:

E-mail Address______________________________________ Phone: _____________________________

Name of guest/non-member___________________________________      @ $20.00 each       $_________

Registration fee for each member attending: ______________________ @ $10.00 each      $_________

Number of Saturday Dinner Reservations__________________   @ $29.00 or $35.00 each      $_________
                       
     Dinner preferences:
   (   ) $29.00--Broiled Halibut Fillet w/chopped tomatoes & opal basil
   (   ) $29.00--Grilled Pesto Chicken Breast w/ plum tomatoes & melted mozzarella
   (   ) $35.00--Roast Prime Rib of Beef w/creamed horseradish & natural juices
   (   ) $29.00--Vegetarian Platter -- Pasta Primavera

        Dinner includes salad, potatoes/rice, seasoned vegetables (each dinner is different) dessert and  coffee/tea


                                               Your Total Due:              $__________

                   MAKE CHECKS PAYABLE TO NMGCS

PLEASE SEND TO:
         Helen Liveten
         107 Ogden Street
         New Haven, CT 06511
         1-203-777-2964
         E-mail:  

QUESTIONS:   as above or Bart Gardner • E-mail: (Please use http://www.nmgcs.org/feedback.htm)