ONLINE REGISTRATION FORM

52nd Annual Hybrid Conference

Walker’s Bluff Casino Resort, 777 Walkers Bluff Way, Carterville, IL 62918

October 8-10, 2024

ONLINE REGISTRATION FORM

• Registration for the in-person conference closed September 7th. Virtual conference registration will be open until October 3rd.
• You will have the option to register online and mail payments or request an invoice to pay later.

First Name

Last Name

Title

State/Organization/Dept

Street Address

City

State/Province

ZIP / Postal Code

Phone

Email Address

Please Select Conference Option *$30 NASLR Virtual Attendance Registration

Check if you are also presenting at the conferenceCheck if you are planning to attend the business meeting (open to all members)Check to receive a certificate for professional development hours

Total

By Mail

Please mail checks to:

NYSDEC / NASLR
ATTN: Simone Rodriguez
625 Broadway, 3rd Floor, Albany, NY 12233-6500
Please contact Simone Rodriguez ([email protected]) if you require an invoice to pay the registration fee(s) for the conference.

Credit / Debit Card *

Credit card processing fee

Total Charge

Notes

Submit RegistrationSave as Draft

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