2007 Nebraska Association of Resources Districts Washington D.C. Registration Form

March 12-14, 2007

The Madison (A Loews Hotel)

Registration Information:

Motel Information:

On-Line Registration Form

*NRD or Organization
Organization (if not listed above)
*Address
*City
*State
*Zip
*Registration Contact Information (not required to be a conference participant)
*Contact Phone Number
*Contact E-mail

*Required Field

Registration Choices

Participants

First Name Last Name Title Registration Sub-Total

TOTAL

If you need additional room for participants, submit another form.

Payment

Contact Jeanne Dryburgh if you have any billing questions
jdryburgh@nrdnet.org or (402) 471-7670

*Payment Method

 Invoice me (Invoice will be sent to address above)

Sending Payment (Agrees to send payment to the Nebraska Association of Resources Districts)

If you selected "Sending Payment" send payments to:

Nebraska Association of Resources Districts
601 S. 12th Street, Suite 201
Lincoln, NE  68508

You will receive an email confirmation once your registration is received by NARD.  If you have a change, contact Jeanne jdryburgh@nrdnet.org at the Association office (402) 471-7670.


After submitting, print the confirmation page for your records.  This is your receipt.

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