NSNA Members
Untitled Document
Step 1 - Personal Profile
Please provide the following information for your event registration.
Credentials:
First Name
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Last Name
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Email Address
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Confirm Email Address
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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?
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Yes
No
Will you be attending the conference in person?
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Yes
No
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
)
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Address Line 1
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Address Line 2:
(enter Apt. Suite, Unit, Bldg, Floor, etc.)
City
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State
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-- Select one --
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
GUAM
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
VIRGIN ISLANDS
Zip Code
*
:
Preferred Phone#:
(10 digit Numbers only-starting with area code)