2017 Jr. NAD Chapter Pre-Registration Form

2017 Jr. NAD Chapter Pre-Registration Form
For each participant, please fill out the required fields below. Each chapter can send up to two delegates, two observers, and two advisors. Upon submission, you will be directed to a payment page. The cost is $50 per participant and is non-refundable. If you have any questions regarding the pre-registration, please send us an email.

Deadline to pre-register: June 30, 2017
School Name*
City, State*
Contact Person*
Contact Person's Position*
Contact Person's E-Email Address*
Contact Person's Phone Number*

Area CodePhone Number
Phone Type*
Expected number of participants*
Note: you can only bring up to 6 participants, each participant's pre-registration fee is $50
Delegates*
Observers*
Note: Due to space limitations, the Jr. NAD program aims to ensure that every school has the opportunity to send its members.
Advisors*

My Products*

2017 Jr. NAD Chapter Pre-Registration Fee$50.00

How many participants?

Total $0.00

Payment Method
Credit	Express