NSBA 57th Annual Convention Registration
Embassy Suites/UNL
Lincoln, NE
March 1-3, 2018
Last Name *
Your answer
First Name (preferred name for badge) *
Your answer
Email Address *
Your answer
Phone number (cell preferably) *
This is in case we need to reach you during Convention.
Your answer
School Name (if retired state "Retired")
Your answer
School (NSAA) Class
Convention Fees
*Fee does not include Banquet ticket
Friday Noon luncheon (choose one): *
Do you plan on attending the Friday evening Banquet *
NOT included in registration. Banquet is $5 additional for Active, First-Time, Retired, and Non-NSBA members. Students Banquet ticket is $50.
Additional/Student Banquet ticket(s) $50 each
Please list the number of ADDITIONAL tickets
Your answer
Within a week of submitting your application you will receive an invoice from PayPal to pay your Convention Registration. Registration can be paid through PayPal or by sending a check.
Make checks payable to NSBA

Please send payment to:
Brandi Kawula
Lewis & Clark Middle School
13502 South 38th Street
Bellevue, NE 68123

**STOP** Before clicking Submit please review your entries and print this page as your record of registration.
Any questions can be directed to nsba.membership@gmail.com
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