2020 NECRWA Conference Registration
The 2020 Let Your Imagination Take Flight Conference will be held on April 24-25, 2020 at the Hilton Boston/Woburn in Woburn MA
First Name *
Your answer
Last Name *
Your answer
Pronouns
If you would like to include your pronouns on your badge, please list them here (i.e. she/her, he/him, they/them). Otherwise leave this section blank.
Your answer
Pen Name
Your answer
Street Address *
Your answer
City, State, Zip Code *
Your answer
Email Address *
Your answer
Telephone Number *
Your answer
Badge Information *
Type in the information exactly as you would like it to appear on your name badge (Real name and/or pen name? Chapter affiliation? etc.)
Your answer
Are you a NECRWA Member? *
*Please note this field is for demographic purposes only. There is no fee differential between members and non-members.
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.