NBEA Conference Registration Form 2019
Last Name / Family Name / Surname
If you use Jr or II or something else as part of your name, please add it here. For example, OBrien Jr.
Please enter the initial of your middle name if you use one.
Affiliation (University or Company)
Please choose your academic status
Mail Address 1
Mail Address 2
First Name for Name Badge
Area of Specialty
Law and Taxation
Are you willing to be a session chair?
Do you have co-authors? If so, please list their names here.
Will you bring a guest?
Remember YOUR meals are included in your registration fee. Guest meals are extra.
Will your guest attend:
How will you pay your registration fee?
(Checks should be made payable to Northeast Business & Economics Association and mailed to William O'Brien, attention NBEA Worcester State University Department of Business Administration and Economics 486 Chandler Street Worcester MA 01602)
Check made payable to NBEA sent care of William O'Brien attention NBEA at Worcester State University
Paypal through link at
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