EmailMe Form - 2018 NCHN Annual Conference Registration

Attendee Information

Please enter your information as you would like for it to appear in the Conference Directory and on your name badge.

If you are completing this form on behalf of an attendee (rather than yourself), please include the attendee's email address and other contact information.

Name *

First Last

Name as it would appear on badge: *

Job Title *

Organization *

Email Address *

Phone Number *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Registrant Type (check all that apply):

Will you be attending the opening reception Tuesday the 17th?

Yes

No

Maybe

Will you be bringing a guest to the opening reception?

Yes

No

Maybe

Guests may attend the opening reception for $45/person

Please enter the name of guest(s) you are bringing to the opening reception.

Will you be attending the Networking event Wednesday evening the 18th? (Georgia Sea Aquarium followed by dinner)

Yes

No

Maybe

Will you be bringing a guest to Wednesday evening's networking event?

Yes

No

Maybe

Guests may attend the networking event for $80/person

Please enter the name of guest(s) you are bringing to Wednesday evening's networking event.

Attendance and Meal Preference

Please indicate if you have any dietary restrictions or preferences

Lodging

Will you be staying at the Westin Peachtree Plaza?

Yes

No

Unsure

Payment, Consent and Cancellation

By clicking "Submit" you are agreeing to pay your registration fee. You are also giving permission for your name and contact information to be published in any listing of participants that may be prepared and released by NCHN.

Please note: Registrations will not be accepted from individuals associated with corporate organizations or non-profit organizations without registration as a conference sponsor.

You are also consenting to allow the Westin Peachtree Plaza to provide NCHN your room reservation information. Specifically your name, company name, room rate and arrival and departure dates.

Cancellation Policy
If for some unfortunate reason you should be unable to attend the 2018 NCHN Conference after registering, NCHN will refund the registration fee if you meet the following guidelines:

The 2018 Annual Conference Registration fee, minus a $50 processing & cancellation fee, will be refunded after the conference, if written cancellation is received by Linda Weiss at lweiss@nchn.org by April 2, 2018. Unfortunately, if a cancellation request is received after April 2, 2018, NCHN cannot refund the registration fee. If the fee has not already been paid, it will be due upon receipt of an invoice from NCHN. NCHN is unable to provide a refund after April 2, 2018 because NCHN will be committed to all applicable conference expenses.

If you should need to cancel after April 2, 2018 and wish to send a substitute, NCHN will switch the registration to the new conference attendee, but cannot guarantee that this person will be included in the conference listing of participants and/or have a printed name tag. If you have questions about the cancellation policy, please check with Linda Weiss at lweiss@nchn.org

Upon submission, you will be redirected to the Registration & Hotel Reservation page of our conference web site. There, you will find a link to PayPal, to make your payment by credit card, and more information regarding registration and room reservations. You will also receive a copy of your registration by email.