NGATN 89th Annual State Conference Registration
 

  Member Information

Member Name*

Rank*

MACOM/WING*

Home Address*

Suite/Apt.

City*

State*

Zip Code*

Phone No.*

Alt. Phone No.

Email Address*

 
  REGISTRATION OPTIONS
Member

Guest 1
Guest 2
Guest 3

  BADGE INFORMATION & SATURDAY Banquent Seating

View seat availability below. You can hover over occupied tables to see who has reserved seats at any given table.

  Name Badge (e.g. John Doe) Choose a Table Choose a Seat

Member (No Rank)

Guest 1

Guest 2

Guest 3

 

  SATURDAY EVENING Banquet Seating AVAILABILITY


  Hotel Accommodations

Hotel reservations at the conference hotels must be made as part of this registration. You will receive a separate email confirmation from the hotel once your reservation has been processed. The cancellation policy is 24 hours (the day before arrival before 3:00 PM). One nights room and tax will be charged for guests that do not cancel. Check-in time is 4:00 PM and checkout time is 11:00 AM. Room selection cannot be guaranteed (based on availability).

Do you wish to make your hotel reservation at this time?
Hotel Preference
Arrival Date Number of Guests
Departure Date Hotel Rewards #
(if applicable)
Room Preference

Special Dietary

Needs or Requests

 
 

  PAYMENT INFORMATION

By clicking the submit button below, you authorize NGATN to charge your credit card for the applicable amount. A 2.5% convenience fee is reflected in the total below. Refunds will be made for requests received by March 1, 2018, however, no refunds can be made after that date except in extreme cases.

The amount below represents only NGATN registration costs. Applicable hotel charges will be processed separately by the hotel with the card information entered.

Name on Card*



Total Amount: $

Card Type*

Card Number*

Expiration Date*

CVC2/CVV2*