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2016 Ames Society Convention Registration Form
Boston area - Brockton, Massachusetts - Oct 7th & 8th

Please type your information into the form below,
then print and mail with your check to the address below.


Street Address:    

City:     State:         ZipCode:    

Email Address: 


Names of others in your party (include relationship to you):



Staying at the Convention Hotel:    YES    NO

Events you are planning to attend (fill in the number of persons attending each event):

    Friday:                   NEHG          Casual Dinner       

    Saturday:              Morning AS meeting          Casual

                                   Ames Society Dinner          Casual

Total number of persons attending on this form   @ $10 each = $ 
          Please make checks payable to:  The Ames Society

Cancellation Policy:  All cancellations must be received in writing or email
          prior to September 1, 2016. No refunds after that date.

Reminder:  Information can be found on the Convention webpage.  Call the hotel directly
          to get the Ames Society group rate on your hotel reservation - (508) 559-0099.

Please print and mail this form and payment to:
          The Ames Society, c/o Bruce C. Lyon, 200 Luchon Rd, Willington, CT 06279

    Return to Convention Page

Updated 4 June 2016