NAIFA National Advocacy Meeting - November 28 - 30, 2017
MEETING REGISTRATION FORM

(NOTE: This registration form is for the meeting only. It cannot be used to reserve your hotel room.)

First name: *
Your answer
Middle name:
Your answer
Last name: *
Your answer
Suffix:
Your answer
Nickname:
Your answer
NAIFA Member No.:
Your answer
Primary Company:
Your answer
State Association: *
Your answer
Association Title: *
Your answer
First time attendee? *
I am attending this meeting to represent: *
Emergency Contact Name: *
Your answer
Emergency Contact Phone Number: *
Your answer
Special dietary, mobility or other needs:
Your answer
Events
Tuesday, November 28 Evening Reception: *
I will be bringing a guest. My guest's name is
Your answer
Wednesday, November 29 Evening Reception: *
I will be bringing a guest. My guest's name is
Your answer
Thursday, November 30 Day on Capitol Hill: *
This is not a housing form!
To reserve your hotel guest room, go to https://aws.passkey.com/go/NAIFAMeeting

If you prefer to telephone the Marriott Renaissance Washington, DC Downtown to make your reservations (1-800-228-9290), be sure to mention the “NAIFA PIC/PAC Meeting” group so you will receive the discounted rate of $229.00 for a single or double room. These rates will be available from November 24th to December 4th.

You must make your hotel room reservations prior to November 1st, 2017.

Questions? Contact Maggie Buneo at 703-770-8154 or mbuneo@naifa.org.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms