To register for one of the NSA Oregon Events, fill in this form. Be sure to give your email address
so we can confirm your registration. You may also print this form out, fill it in and fax to: 503-905-6074.
NOTE: If your browser doesn't support forms, please email me at becky@designcorr.com


Name:      
Address:   
City:       State:        Zip:          
Phone:     
Fax:       
E-mail:    

Comments:


Meetings are held at the Courtyard by Marriott, 15686 SW Sequoia Parkway Tigard, OR 97224

Which Event would you like to attend?

9/07/2006 - Dan Poynter, CSP - Turning Speeches Into Books - $35.00 (Open to All)
9/11/2006 - So you want to be a Speaker? $10.00 (Open to All)

This form is not secure - if you'd like to use a credit or debit card, you may print out and fax to: 503-905-6074.

How would you like to pay?
Check at door
Credit Card?
Visa
Mastercard

Credit Card #:      
Expiration Date:




Home|| For More Information|| Our Brochure|| NSA Registration||Return to NSA Oregon Website|| Profile

Last Updated 08/17/06