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Registration

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NLA Offers a substantial meeting registration discount to Members. If you would like to join the NLA at $100 annually, please fill out a membership application first (opens in a new window).

Required fields are marked in bold!

Member Discounts If you register at the member rate for this or any NLA meeting and you are not a member or your membership dues are not current, your card will be charged separately for the difference between the non-member and the member rate.

Registrant Information:

First Name:
Middle Name:
Last Name:
Degree:
Badge: (First Name or Nick Name for your badge)
Address 1:
Address 2:
Address 3:
City:
State: Zip:
Country:
E-mail address:
Phone:
Fax:
Choose a Date

Please select one

Thursday, March 8 and Friday, March 9, 2012
Hilton Bayfront San Diego, CA

Wednesday, May 30 and Thursday, May 31
JW Marriott Scottsdale, AZ

Choose a Registration Status

Please select one

NLA Members - $695.00

Non-Members - $1200.00

* Trainee - $395.00 (Must complete the downloadable registration form and must submit along with a letter of verification of fellow/trainee status in order to qualify for this rate.)

Please list any special needs such as handicap accommodations or dietary requirements in the space below.

Payment Information:

Name on Card:
Card Type:
Card Number:
Expiration: (MM/YY)

Registration Deadline: Registration and payment must be received no later than 2 weeks prior to the course date. Onsite registration will not be available.

Cancellation Policy: Telephone cancellations will not be accepted. A written notice of cancellation must be received no later than two weeks prior to the meeting for a refund. A $25 administrative fee will be deducted. No refunds will be made after the respective cancellation deadlines.