2025 Awards Banquet Admission Form

Complete this form and provide payment information to purchase admissions for the 2025 NETA Awards Banquet and Business Meeting. Payment may be provided via credit card, PayPal or check. If paying by check, make out to NETA for the amount shown on the form and mail to:

Sally Bernstein
611 Waukeena Lake Road
Danbury, NH 03230

If you plan to just attend the business meeting and not the banquet, select “0” for the number of banquet admissions. Be sure to enter how many in your group plan to attend the business meeting. This will help us order the correct amount of hors d’oeuvres for the break during the business meeting.

Contact

Name *

First

Last

Email *

Admission Details

Admissions Count *0123456

Total

Price: $0.00

Business Meeting Count *0123456

Special Meal?

• No
• Yes

Gluten Free0123456

Vegetarian0123456

Vegan0123456

ERROR: Too many special meals requested. The total number of meals cannot be greater than the “Admissions Count”.

Payment Method

Payment Method *

• Online
• Check

Online payment can be made either by credit card or PayPal. Checks should be mailed before the banquet or hand delivered to Bill Bonneau at the banquet.

Online Payment *

PayPal CheckoutCredit Card

Card Number

Expiration Date

Security Code

Card Holder Name

Check

1. Make your check payable to NETA.
2. Mail to:
   Sally Bernstein
   611 Waukeena Lake Road
   Danbury, NH 03230
3. IMPORTANT: Click “Submit” after completing steps 1 & 2.
4. Questions? Contact Membership.

Submit