2021 NALS&RMA Annual Meeting Registration Form (by CC)

To coordinate activities for those who will be attending this year's convention in Dallas, TX on Tuesday, May 25 - Thursday, May 27, 2021, please complete this form and make payment by April 15, 2021. Late registration ends April 30, 2021.

Your registration will include 2 nights of accommodations at the host hotel, Home2Suites-Baylor by Hilton, and all meals during the convention. The Hotel Reservation Form must be submitted for each attendee . Please visit the Convention page on nalsrma.org for more details.

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Organization Information

Organization Name

Business Address

Business Address 2

City

State

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Phone Number

Fax

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ATTENDEES

Dietary needs or other requests

Attendee #1 Name

Attendee #1 Arrival

Attendee #1 Departure

Attendee #1 Attending Tuesday All Day

Attendee #1 First-timer

ATTENDEES (CONT.)

Attendee #2 Name

Attendee #2 Arrival

Attendee #2 Departure

Attendee #2 Attending Tuesday All Day

Attendee #2 First-timer

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Attendee #3 Name

Attendee #3 Arrival

Attendee #3 Departure

Attendee #3 Attending Tuesday All Day

Attendee #3 First-timer

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Attendee #4 Name

Attendee #4 Arrival

Attendee #4 Departure

Attendee #4 Attending Tuesday All Day

Attendee #4 First-timer

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Attendee #5 Name

Attendee #5 Arrival

Attendee #5 Departure

Attendee #5 Attending Tuesday All Day

Attendee #5 First-timer

YOUR ACCOUNT

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Number of Guests Attending

Registration Fee

Annual Meeting Registration Early Rate

Mar 15 - Apr 15, 2021

$125.00

Annual Meeting Registration Late Fee

Apr 16 - May 04, 2021

$150.00

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