New Jersey FFA Advocacy & Legislative Leadership Day
Chapter Name
*
Chapter Number
*
Name of Advisor Submitting this Form
*
E-mail of Advisor Submitting this Form
*
Cell Phone Number (for advisor attending)
*
-
Area Code
Phone Number
Adult(s) Attending
*
Student(s) Attending
*
Total Adults Attending
Total Students Attending
Total Participants
Choose Your Options
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Meal Tickets (OPTIONAL - cannot be purchased onsite)
$
9.28
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Leadership Resources (Must equal the Total Participants box)
$
9.00
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Meals and Other Incidentals (NOT including meal tickets; Must equal the Total Participants box)
$
19.00
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Total
$
0.00
Is your chapter Gold Affiliated?
*
Yes
No
Affiliation Discount
Does Your Discount Exceed $250?
Yes
No
Total Due With Affiliation Discount
$
Affiliation Overage
Total Due With Affiliation Discount
$
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