NEW JERSEY SCHOOL BOARDS ASSOCIATION

Registration Form

Special Meeting of the Delegate Assembly

Election of VP for County Activities

July 19, 2003

   Board Delegate
   Officer or Past President
   Board of Directors Member/Alternate
   County Association President/Designee
   Guest
Name:
*Required field 		 
Home Address:
City/State/Zip
*Required field		  
Phone            
*Required fields		 (H) (B)
E-mail
*Required field		  
District *Required field   

County*Required field  

You may also mail, fax or phone your registration to:

Cindy Stanhope

New Jersey School Boards Association

413 West State Street, P.O. Box 909

Trenton, NJ  08605-0909

Phone:  609-278-5254

Fax:  609-695-7937