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Step 1 - Personal Profile

Please provide the following information for your event registration.

Credentials:
First Name*:
Last Name*:
Email Address*:
Confirm Email Address*:

NSNA will offer exhibitors the opportunity to reach you by postal and email after the conference.
Would you like to opt out on releasing your information to exhibitors?*:
Will you be attending the conference in person? *:
I have read and understand NSNA’s Covid-19 Liability Waiver and Mask Policy for the 2021 Midyear
Conference(https://www.nsnamidyear.org/covid-19-policy.html) *:
Address Line 1*:
Address Line 2:
     (enter Apt. Suite, Unit, Bldg, Floor, etc.)
City*:
State*:
Zip Code*:
Preferred Phone#:

     (10 digit Numbers only-starting with area code)