NAB Northwest Annual Meeting

ANNUAL MEETING REGISTRATION

October 27-29, 2023
Name*

First NameLast NameDelegate Y/N
Name of Spouse if applicable

First NameLast NameDelegate Y/N
Names and ages of children if applicable
Name   Age
   Age
Name   Age
Name   Age
Name   Age
NURSERY available during sessions for ages 0 – 5 yrs. in Rooms 306-307.

CHILDREN’S ACTIVITIES available during sessions for ages 6 yrs. – 5th grade.

YOUTH ACTIVITIES available during sessions for ages 6th grade - 12 grade.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Church Name*
Registration Cost*
A "CELEBRATION" DINNER WILL BE SERVED ON SATURDAY NIGHT AT 6:00 PM:
IF YES ABOVE, HOW MANY WILL BE ATTENDING?
THE "CELEBRATION" DINNER WILL INCLUDE THE FOLLOWING ITEMS: Salad, rolls, roasted vegetables, roasted potatoes, pork, & chicken, gluten & GF dessert. PLEASE INDICATE IF YOU HAVE A SPECIAL DIETARY NEED IN PLACE OF THIS MENU.
A "LADIES ONLY" BREAKFAST WILL BE SERVED SUNDAY AT 8 AM HOSTED BY ROSLYN WEISENBURGER:
THE "LADIES ONLY" BREAKFAST is included in your registration: The buffet style breakfast will be located in the main meeting room.

Please calculate your total registration fee and enter here, if using credit card.

USDDescription

Whether or not you are entering credit card information, please simply hit the "submit" button below. That will complete your registration and your payment.

THANKS!
If you prefer to pay by check please make payment to NABNW and send to:

Kathy Fornshell

11105 NW 313th Ave

North Plains OR 97133.
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ANNUAL MEETING REGISTRATION