Online Registration Form
1. Registrant Information
First Name:    
Last Name:    
Name to appear on Badge:    
Company Name:    
In case of emergency contact:
Name: Relationship:
Daytime Phone: Evening Phone:
2. Registration
2. Registration Fees

Each participant must register individually (fees are shown for each individual).

Choose One: NASSTRAC Members Non-Members
Full Conference: $650 $850
Day Rate: $395 $495
   Select You Membership Status  
I am A Regular Member
I am An Associate Member
I am Not A NASSTRAC Member

Guest Registration: 

I am bringing a guest  
  not bringing a guest  
Name of Guest/Spouse:  
3.  Payment Information
Card Type:
Check (forthcoming)
Name on card:
Card Number:
Expire Date:

Credit card charges will be billed in U.S. dollars. The payee on your credit card statement will be identified as: NASSTRAC. Your institution will convert at the prevailing exchange rate. Cancellations are accepted with refunds made less $95 prior to September 2, 2005. Cancellations received on or after this date are not eligible for a refund.

NASSTRAC has negotiated a special room rate for single and double occupancy with the Sheraton Inner Harbor Hotel (U.S. $169, plus applicable state and local taxes). Hotel arrangements must be made directly with the hotel toll-free at 800-325-3535. To ensure room availability and this negotiated rate, make sure to make your reservations by Aug. 26, 2005.



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