2017 NLG Southern Regional Registration
March 24-25 in New Orleans
First Name *
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Last Name *
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Phone Number *
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Email Address *
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City and State *
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I am a current NLG member: *
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I am registering as (check all that apply): *
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I plan on attending (check all that apply): *
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I'm coming from out of town and need lodging (check all that apply):
In order for the Southern Regional to be accessible for me I need the following (ex. large print materials, language access, etc.):
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I will pay for my registration: *
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I am paying (check all that apply): *
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