Name: ____________________________________Delegate? Yes___     No___
 
Name: ____________________________________Delegate? Yes___     No___
(Please print your name as you would like it to appear on your name tag)

Address: ___________________________________________________________
___________________________________________________________
 
Room: Contact the Owego Treadway directly at 607-687-4500 or 607-687-9000 for reservations. Please reserve early for the best room selection. Mention the "FNYSBC Annual Meeting" to ensure the conference rate of $79.00 + tax per room (single or double). Camping facilities at nearby Hickories Park. If you would like a Tioga Travel Guide please check:

Registration
(All attendees must register)

	Qty.	Per Person	Total
Registration Fee - Postmarked on or before July 15th		$25.00
Registration Fee - Postmarked after July 15th		$30.00
Registration Fee - Student		$10.00
Total Registration Fees
Friday evening buffet		$21.00
Saturday evening banquet Please indicate your banquet meal choice: Chicken Piccata       with lemon caper sauce #_______ Prime Rib of Beef Au Jus        #_______ Vegetarian Chef's Choice      #_______		$20.00
Sunday breakfast buffet on Hiawatha Island		$17.00
Total Meals
Total Enclosed

Please make checks payable to: Naturalists' Club of Broome County No refunds after August 1st.

Mail to:   Helga Stein 331 Western Heights Blvd. Endicott, NY 13760