NEG4 Registration Form

NEG4 Registration Form

Last Registration Day - May 19th, 2035
Northeast Gathering Information

Please see the event date, time and location below. Registration fee will include one t-shirt, swag bag, sticker, and food Friday and Saturday nights.
Event Date: June 23-25 2023

Event Time: Check in 6/23 @ 4PM

Event Address: 475 Camelback Road Tannersville, PA 18372

Whatsapp Link - Join to receive updates like routes and meeting times and use it to link up with other NEG participants.

https://chat.whatsapp.com/I1kYRYVKhlBAKpNmxRono9
Attendee Information

Please fill name and contact information of attendees.
Your Name

PrefixFirst NameLast Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Forum Names

914World Screen NamePelican Parts Screen Name
T-Shirt Size (included with registration fee)
Will you have a guest with you?

YesNo
Guest Name

PrefixFirst NameLast Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Guest T Shirt Size (add $20 to registration fee please)
Payment Information

$100 -Due date for payments is May 19th. Paypal info easy button is below. If you want to use the app please send to Travis Skowronski @ tmskowronski@yahoo.com
Registration Fee via PayPal:

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Northeast Gathering Information