February 2025 National Board Meeting Registration- VIRTUAL

Attendee Registration No Fee

First Name *

Last Name *

Nickname (if preferred)

Email *

Event Fee(s)

I will be attending the National Board Meeting Virtually *

Yes, I am attending virtually. - $ 50.00

No - $ 0.00

Credit Card Processing

Total Amount

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Relationship to National

National Board or Committee Position(s)