Name
Street Address
Address (cont.)
City
State
ZipCode
Day Phone
Eve Phone
Email IF YOU USE IT
Annual Meeting attendance	Select one I am likely to attend, if date and location are OK. I am UNLIKELY to attend, no matter when and where it is.
Annual Meeting dates	Hold Control down to select all that apply. May 16 is NOT good for me. May 17 is NOT good for me. May 23 is NOT good for me. May 24 is NOT good for me. May 30 is NOT good for me. May 31 is NOT good for me.
July 4 and 5 Springfield shows	Select one Support July 4, Farmington Valley, Pat Gellerman Support July 5, Naugatuck, Lester Mapes Skip these and wait until fall.
If you would like to support either July 4 or 5, please describe ECS specialization of judge:
If interested in fall shows, please suggest judges with a special tie to ECS:
Comments, questions: