2025 NSM Registration

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 Arrival Date

Hotel Departure Date

Special Accommodations

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

Shirt Size*

Select or enter value

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.

Drag and drop files here or

Comments/Questions/Concerns:

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

or call 281-785-7336.

Send me a copy of my responses