2024 Winter Conference Member Registration – National Association of State Veterans Homes

2024 Winter Conference Member Registration Form

2024 Winter Conference Member Registration

1. Attendee Information

Name *

First

Last *

Last

State Home Represented

Title

Email *

Phone

NAB Member Number

Special Dietary Requirements

2. Payment Information

Fees

Registration: $500.00

Total Payment Due

Payment Method

Mail-In Check

Credit Card

Please make check payable to NASVH and mail payment to:

Jack Tarter / NASVH Business Manager
582 N. DeSmet Ave
Buffalo, WY 82834

(307) 620-1999
nasvh@vcn.com

Credit Card Information

NASVH Federal Identification Number – 36-3765741

For questions regarding the conference registration, please email info@nasvh.org

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