Registration

2023 NIA Spring Conference.

Spring Registration

Spring Registration

First Name *

Last Name *

Email

Phone *

Address

Address

Address

Address

City

City

State

State

Zip

Zip

Checkboxes

AA

Al-Anon

Alateen

Guest

Conference Registration and Meals- (2.9% + $.30 processing fee added to total) *

Conference - $30

Box Lunch - $15

Banquet Dinner - $52

Banquet Meal Preference *

Chicken

Vegetarian

Total $

Credit Card

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2023 Spring Conference and Assembly
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