NMNA Electronic Registration Form

	53rd Annual NMNA Conference Postponed to a later date Location TBD
Electronic Registration Form Please complete and submit the following form to register for the upcoming NMNA Conference.
* Required Fields
Name*
Title*
Email Address*
Office Address*
City*
State*	Zip Code*
Telephone*
Spouse/Guest
AMS Branch*
Federal or State Employee*
Registration*
Annual NMNA Membership Dues*	Dues are $7.00. Lifetime members enter “Lifer” only paid members are eligible to hold office, nominate or vote at meetings
Guest and alumni members*	$100 includes Welcome Reception, Saturday banquet & hospitality room.

NMNA Memorial Scholarship Fund Donation
NMNA Donation to Hospitality Room
Total Fee*
Spouse/Guest * Yes No

Do you have any special needs (INCLUDING FOOD?)? If so, please contact us.
All hotel accommodations need to be made separately through by TBD to guarantee a room and the government rate. Room rates are $113.00 single and double rate plus state and local tax. You must identify yourself as a member of the National Market News Association. If you register online the code is NMN. Reservations can be cancelled without charge up to 72 hours before check-in. If you are checking out of the hotel earlier than you initially intended when making your reservation, please let the hotel know at check-in.

Additional Comments:

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