Conference Registration

2026 Conference Registration Form

First Name

Last Name

Name Tag ( if different)

Title

State/Organization/Dept

Street Address

City

State/Province

ZIP / Postal Code

Phone

Email Address

Please Select Conference Option *$50 NASLR Virtual Attendance Registration$325 NASLR Conference Registration (incl. Field Trip and Banquet)

Indicate Food Allergy or PreferenceVegetarianGluten FreeOther (enter in Special Requests below)

Special Requests

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

Field Trip InformationI will Participate in the Field TripI will NOT Participate in the Field TripPlease indicate if you wish to participate in the October 1st field trip. You must provide the following Safety Items for yourself: Hard Hat, Safety-Toe Boots, and Reflective Safety Vest/Shirt (optional: Safety Glasses and Hearing Protection):

Total

By Mail

Please mail checks to:
NCDEQ / NASLR
ATTN: Shawna Riddle
2090 US Hwy 70
Swannanoa, North Carolina 28778

Please contact Shawna Riddle (shawna.riddle@deq.nc.gov) 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

Please do not fill in this field. Please do not fill in this field.

Cancellation requests made at least 30 days prior to the start of the annual conference will be refunded at 80% of the total cost paid.  There will be no refund for cancellations made within 30 days of the start of the annual conference.  Cancellation requests must be made by emailing NASLR1972@hotmail.com.  Registrants cancelling an in-person registration may receive a virtual registration at no extra charge.  Registrants may transfer registration to another member at any time without penalty.