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
Do you plan to stay for the closing session?
Yes
No
What time will you leave at?
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Adult(s) Attending
*
Student(s) Attending
*
Total Adults Attending
Total Students Attending
Total Participants
Is your chapter Gold Affiliated?
*
Yes
No
Are you purchasing cafeteria meal tickets ($10.49 each)
Yes
No
How many?
Affiliation Discount
Does Your Discount Exceed $250?
Yes
No
Total Due With Affiliation Discount
$
Affiliation Overage
Total Due With Affiliation Discount
$
Submit
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