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2013 NSPS Presenter Registration

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2013 NSPS Presenter Registration Powered By Docstoc
					2013 National Sailing Programs Symposium Presenter Registration
Please confirm your status as a presenter with agenda developer Stu Gilfillen before submitting your registration.
Please provide the information as you want it to appear on your name badge.


Name

Organization                                                         Title

Address

City/State/Zip/Country

Phone (B)                                                     Email

US Sailing #___________

************************************************************************
Registration Fees (choose one):

Full-Event Registration                                                                    $95.00

Two-Day Registration                                                                       $75.00

One-Day Registration                                                                       $55.00

Circle the days you are attending if not staying for the full event:
Wednesday        Thursday        Friday       Saturday

NSPS Book                                                                      __x $40.00                    _____________

Do you require a vegetarian meal? Y/N



Total



Payment: (circle)
Check Enclosed                         Credit Card (Visa, MasterCard, American Express)

Credit Card Number                                                             Expiration Date

Name on Card                                               Signature


We are happy to announce that will be doing our part for the environment by not printing books for the
attendees. The Gowrie Group will be providing thumb drives with the event content preloaded on the drive.




US Sailing, POB 1260, Portsmouth RI 02871 Fax: 401-683-0840                                                      12/12

				
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