2018 Connect Differently - Live Broadcast of the 123rd Annual Convention


2018 NAMIC Annual Convention
Connect Differently
Virtual
Registration Policy | Questions / Support
 Attendee Profile:
* indicates required field

Attendee Name:

*
First Name
todo Last Name
todo Suffix‡
  ‡ (Jr., Sr., MBA, etc.)
Company Name: *  
Job Title: *  
Badge Name: *  (first name only)  
todo
Mailing Address: *  
Address 2:
City, State/Province *
 
Zip/Postal Code: *  
Country: *  Preview Badge 
todo
Telephone: * (ex: (xxx) xxx-xxxx)
Cell Phone:
Fax:
Attendee Email: *    
Administrative Contact (Email or Name/Number): *   (should we need to contact someone regarding this registration)
Special Needs: We invite all registrants to advise us of any disability and any requests for accommodation to that disability.
Special Needs:
First Time Attendee?
todo

 REGISTRATION FEES
Registration Fees  




 EVENT OPTIONS

If you have registered for an event, you are subject to the terms and conditions of participation at this event as contained in the Event Participation Terms and Conditions found at http://www.namic.org/seminars/terms.asp and will be notified to such by the person completing this registration.