Registration Form

Staying Alive: The Hill-Fulper-Stangl Pottery
in a Changing Marketplace

Saturday, April 17, 2010
9:30 a.m. – 4:00 p.m.
New Jersey State Museum Auditorium
205 West State Street, Trenton NJ

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Advance registration must be received by April 5, 2010; after that date, you must register on site. We regret that we do not take credit cards; check or money order only. All advance registrations must be made via the mail; telephone registrations will not be accepted. On site registration is $40. Registration includes lunch.

Name:_________________________________________________________________

Affiliation (for name tag): __________________________________________________

Address:_______________________________________________________________

City:___________________________________________________________________

State:_________________________________ Zip:_____________________________

Telephone(optional):______________________________________________________

Email:_________________________________________________________________
(For e-mail confirmation of registration please provide email address)

Meeting Registration Fees:
Member Potteries of Trenton Society       $30.00
Member of the Friends of the New Jersey State Museum    $30.00
Member of the Trenton Museum Society       $30.00
Non Member           $35.00

Please circle your choice for sandwich (if no choice is made we will make one for you):

Cheese              Turkey               Roast beef               Tuna

Registration will be $40 the day of the symposium.

Please make your check payable to the Potteries of Trenton Society and mail to:

Potteries of Trenton Society, 120 W. State Street, Trenton, NJ 08608