National Association for Court Management

(Please enter the information exactly as you would like it to appear on the list of attendees)

*Name (First/MI/Last):

Badge Name (If Different):

*Court/Company:

*Title:

Department:

*Address 1:

Address 2:

*City/State/Zip:

*Country

*Phone:

Fax:

*Email:

You have my permission to share the above e-mail with conference exhibitors.

Please indicate any physical or dietary needs that require special attention:

Fees:

Members	Non-Members
Early Bird - $625 - registering on or before June 7 to June 21	Early Bird - $750 - registering on or before June 7 to June 21
Regular - $725 - June 22 - July 12	Regular - $850 - June 22 - July 12
Onsite - $775 - registering July 13 and after	Onsite - $900 - registering July 13 and after

*Non-members can receive a discount on NACM membership by joining online, then registering for the conference at the lower member price. You’ll receive a $15 discount as a new member + $10 discount for joining online. Go to nacmnet.org for online access..

Registration Type:

Member - Current NACM Member:

Non-Member

Guest Information:

Will you be bringing a guest :

Yes No

Spouse/Guest Name

Events:

Please indicate which social functions you plan to attend during the conference. Admission to all events is included in the registration fee for participants. Pricing for individual social events is for spouse/guest fees only.

I plan to attend:		My guest plans to attend:
($0)	Opening Reception (Tuesday, July 20)	($65)
($0)	Business Meeting/Lunch (Wednesday, July 21)	($45)
($0)	Exhibitor Show Lunch and Refreshment Break (Thursday, July 22)	($50)
($0)	Social Event (Thursday, July 22)	($75)
($0)	Business Breakfast (Saturday, July 24)	($25)

* Required Fields