HORSES REGISTRATION FORM March Early Bird Registration Fees received by Yearoveryear

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									    HORSES 2009 REGISTRATION FORM
    March 28 - 29, 2009
      Early Bird Registration                           Registration
    (Fees received by February 27, 2009)            (After February 27, 2009)
                    Sat. Sun. Weekend                          Sat. Sun. Weekend
                   only only                                   only only
    Adults         $50 K $50 K $90 K         Adults           $75 K $75 K $135 K
    Youth/Students $30 K $30 K $50 K         Youth/Students $35 K $35 K $60 K

                 Please check the days you wish to register for.
      Group discounts are available. For more information call: 732-932-9419
                                        or Visit
                          www.esc.rutgers.edu
    Name: ____________________________________________________________________
    Mailing Address: __________________________________________________________
    City: _____________________________________ State: ________ Zip:    ____________
    Ph.(w): _________________ Ph.(h): _________________ Ph.(c): __________________
    Fax: _________________ E-mail:______________________________________________

    Please provide one form per registrant. (Photocopy form for multiple registrants.)
           Please detach this page and mail with your payment.
    K Check, money order or purchase order enclosed in the amount of
      $ ___________ made payable to: Rutgers, The State University of NJ
    K MasterCard       K Visa       In the amount of $__________________________
       ________________________________________________________________________
       Card Holder’s Name (printed)
       ________________________________________________________________________
       Signature of Card Holder
    Card No. __________________________________________________________________
    Exp. Date (mm/yy) ________________ Billing Zip Code: _________________
    Cancellation Policy: No Refunds
    To better serve you, please check all that apply:
    K Horse Owner K English K Western K Driving K Racing
    K Farm Owner K Veterinarian/Vet Tech K Professional
    K Other (specify) _________________________________________________________
                                Equine Science Center
                     Rutgers, The State University of New Jersey
                 57 U.S. Highway 1 • New Brunswick, NJ 08901-8554
      Phone: 732-932-9419 • Fax: 732-932-2658 • Email: esc@njaes.rutgers.edu

•          HO RS ES                        2 0 0 9

								
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