2025 NSM Registration - Partners

CONTACT INFORMATION

Please list your contact information as you would like it to appear printed. (i.e. watch spelling and punctuation)

Email Address

First Name

Last Name

Organization

Business Title

Street

Mailing Address

City

State

Zip

Cell Phone #

Please supply a phone number that you will have access to while traveling and onsite.

Emergency Contact Name

In case of emergency, who should we contact on your behalf.

Emergency Contact #

HOTEL INFORMATION

Hotel Arrival Date

mm/dd/yyyy

Hotel Departure Date

mm/dd/yyyy

Special Accommodations

(i.e. early arrival, late departure, ADA room, etc.)

OTHER INFORMATION

Shirt Size

I have the following food allergies:

Please upload a photo of yourself (headshot preferred) to be shown in the Attendee List on the NSM mobile event app, Guidebook.

Drop your files here

Comments/Questions/Concerns:

CHANGES TO YOUR REGISTRATION

If you need to make any changes to your registration form,

or call 281-785-7336.

Send me a copy of my responses