Registration Form

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Attendee Information

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Address*

City, State, Zip*

How many people are you registering?*

Primary/First Attendee*

First Last

Primary/First Attendee Email*

Second Attendee*

First Last

Second Attendee Email*

Third Attendee*

First Last

Third Attendee Email*

Fourth Attendee*

First Last

Fourth Attendee Email*

Fifth Attendee*

First Last

Fifth Attendee Email*

Comments/Questions:

Billing

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Please send payment within 7 business days.

Billing Phone Number*

Members

Price: $40.00

Non-Members

Price: $85.00

Members: Half-Day

Price: $25.00

Non-Members: Half-Day

Price: $40.00

LATE FEE - if less than one week out

Price: $10.00

Students

Price: $15.00

Total

Payment Method:*

Please mail checks to: NMPSA, PO Box 87, Marquette, MI 49855

Attendee Information

Billing

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