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2019 NAISTD Membership Registration
Name
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Last
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Organization
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Organization's Description
This information will be used in the Membership Directory Update (one paragraph please)
Special Needs
Special Dietary Requirements (please explain below)
Assistive Listening Device
Alternate Format Materials
List Other Specific Needs
Membership Categories
*
NAISTD Member
Guest (attending only receptions and dinner)
Observer (site selectors, consultants)
Exhibitor
Payment Type
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Check
Purchase Order (P.O.)
PayPal ($10 surcharge per member)
Name of person making Paypal payment on attendees behalf (if applicable).
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