Please complete the

Registration Form

Lunch will be provided

* Required Content

Name*
Please Enter Your Name.
First Middle name or Initial (Optional) Last
Address
Street Address Address Cont. (Optional) City State ZIP Code
Email*
Phone*
Annual Meeting Events & Activities*
Please select the boxes for the Annual Meeting Activities that you will be attending. Check the Select All box if you are attending both activities. The Business Meeting, and lunch after the meeting. Thank You
- Select All
- Business Meeting (Free Event)
- I will be joining you for lunch (Free Event)
Guest Information
Will you be bringing a Guest?*
If yes please complete the following information on your guest. Thank You
- Yes
- No
Guest Name
NMSSA encourages members to bring a guest. If you have a guest please complete the following information. Thank You
First Middle Name or Inital (Optional) Last
Please list the activities your guest will participate in.
- Select All
- Business Meeting
- Guest will be joining us for lunch (Free Event)
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