Advance Registration Fee For Members

Cost

TOTAL

A

POAN/NSA Member

$80

$

B

POAN/NSA Member & Guest/Spouse *

$103

$

Advance Registration Fee for non POAN/NSA members

C

Non Member Registrant

$90

$

D

Non Member Registrant &Guest/Spouse *

$113

$

Registration Fee received after Oct. 7 or at the door

E

Late Registrant

$95

$

F

Late Registrant & Guest/Spouse *

$118

$

G

Additional Banquet Tickets No. of Tickets_________ (these are in addition to those purchased above)

$23 ea.

$

TOTAL ENCLOSED

$