2023 National Session Online Registration Form First Name(required) Last Name(required) Phone Number(required) Address(required) City(required) State(required) Zip(required) State Affiliation of Membership(required) Email(required) Title to appear on Badge & Department (Please choose highest ranking title):(required) Additional Notes When you submit your registration form and pay online with a credit card via PayPal (AMEX, Discover, MasterCard, or Visa). You will receive two emails – 1) a confirmation email and 2) a registration statement email from PayPal which serves as your receipt. If you do not receive both confirmations, you have not fully registered. Send Δ Like this:Like Loading...