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2019 National Convention Preregistration Form

Thank you for considering preregistration for convention this year. When purchased online by May 31st, the preregistration fee for convention is $25 ($30 on-site) and the cost of a banquet ticket is $70 ($75 on-site).

To mail in your preregistration please download the pdf version and mail to us no later than May 31st.

Please Note: All convention preregistration and banquet sales are final. No refunds will be provided.

Primary Registrant Information

* Denotes required field

First Name: *

Last Name: *

Address: *

City: *

State/Province: *

Zip: *

Country: *

Email: *

Verify Email: *

Yes, this is my first NFB National Convention.

Registration and Banquet Tickets

I would like to register for the 2019 National Convention.

If you would like to attend the convention banquet, please select the number of banquet tickets you would like to purchase.

Packet Pick-up Information

I will pick up my registration packet at convention.

The following person will pick up my registration packet:

Pick-up First Name:

Pick-up Last Name:

Primary Registrant Information
	* Denotes required field
First Name: *
Last Name: *
Address: *
City: *
State/Province: *
Zip: *
Country: *
Email: *
Verify Email: *
Yes, this is my first NFB National Convention.
Registration and Banquet Tickets
I would like to register for the 2019 National Convention.

If you would like to attend the convention banquet, please select the number of banquet tickets you would like to purchase.

Packet Pick-up Information
I will pick up my registration packet at convention.
The following person will pick up my registration packet:

Pick-up First Name:
Pick-up Last Name: