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Guest Registration: Step 1

Guest registration includes access to Welcome Reception and Noche de Celebración dinner only.

Contact Information

First Name*

Last Name*

Title*

Organization*

Address*

City*

State*

ZIP Code*

Phone*

Mobile*

Fax

Email*

How would you like your name to appear on your name badge? (NHCLSL badge is required at all times to grant access to conference events)*

Do you have any special physical, dietary or other needs? If yes, please describe

Executive Assistant Information (if applicable)

First Name

Last Name

Phone

Caribe Hilton Information

I will require hotel reservations for the evening(s) of:
(Please check all that apply)

Tuesday, December 3rd

Wednesday, December 4th

Thursday, December 5th

Room preference:
(Room type is on a request basis and is not guaranteed)

King Bed

2 Double Beds

NHCSL Group Rate: $234.91 (tax included). This group rate is available from 11/30 to 12/9, pending hotel availability.

Comments and/or special requests

Disclaimer

Cancellation Policy: Cancellations made before October 21, 2019 will be charged 50% of the registration fee. Refunds will not be given for cancellations made after October 21, 2019. All cancellations must be submitted by letter or email and postmarked no later than October 21, 2019.

Check this box to confirm the information above.

* Required information