Northern NE Meeting

Registration Form
ACA/NE Northern New England Chapter Membership Meeting
March 3, 2020

Holiday Inn Portland-By The Bay | 88 Spring Street | Portland, ME | 9:00 am - 12:00 Noon


There is no charge to attend this meeting. Please register by: 2/24/2020.

Company		Address *
City	*	State * Zip * Phone *

Name # 1	*	Email # 1
Name # 2		Email # 2
Name # 3		Email # 3
Name # 4		Email # 4
Name #5		Email # 5
Name # 6		Email #6

We will sponsor the meeting.
		Sponsor Fee = $200

Total:		Credit Card Master Card VISA AMEX
Account #		Security # Mo Exp. Yr. Exp.
First Name		Last Name
Email		Billing Zip Code



ACA/NE \| 11 Robert Toner Blvd., # 234 North Attleboro, MA 02763
Phone: 508-839-3407 \| Fax: 508-232-6005 \| katie@acane.org