NTCTELA Membership and Conference Registration - 2018
Filling out this form will generate a pdf invoice that will be automatically sent the the email address you provide. Please allow up to 24 hours for the pdf to be generated. If you do not receive the invoice, please check your spam folder. Your registration will not be considered complete until you mail the pdf invoice and your $95 payment. No payments will be collected at the door, and all unpaid registrations will be canceled on June 1, 2018.
Hurst Conference Center
Friday, June 8, 2018
7:45-3:30
includes lunch
Last Name *
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First Name *
Your answer
Primary Email Address *
Your answer
Secondary Email Address
Your answer
Street Address *
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City, State, Zip Code *
Your answer
Personal Phone *
Your answer
District/Organization *
Your answer
District Contact Person for Accounts Payable *
Your answer
District Contact Person for Accounts Payable Phone Number *
Your answer
District Contact Person or Accounts Payable Email *
Your answer
Level *
Required
Role - Check all that apply *
Required
Which speaker are you most interested in hearing present? *
Which speaker ranks second in your level of interest? *
Which speaker ranks third in your level of interest? *
Which speaker ranks fourth in your level of interest? *
Dietary Constraints *
Required
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