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NASAA Assembly 2014: Register

Please complete all fields. (* = required field)

* Full name, as you would like it to appear
   on your badge:
* Title:
* Organization:
* Address 1:
* Address 2:
* City:
* State/Territory/Province:
* ZIP/Postal code:
* Phone:  
* Confirmation e-mail address:
A registration confirmation will be sent to this address.
Secondary e-mail address:
A copy of the registration confirmation will be sent to this address.
Is this your first NASAA conference?  Yes    No

Peer Groups (for state arts agencies and regional arts organizations only)

Check the primary group in which you intend to participate on Friday, November 14, from 8:30 – 11:30 a.m.

 Executive Directors

 Chairs/Council Members

 Deputy/Assistant Directors

 Arts Education (Please register separately for the Professional Development Institute preceding the Assembly
      if you also plan to attend those arts education sessions.)

 Communications/Public Information

 Community Development

 Folk and Traditional Arts (Please register separately for the folk and traditional arts meeting preceding the
      Assembly if you also plan to attend those meetings. To register, contact Lisa Higgins.)

 Grants and Fiscal Officers

 I don't plan to participate in a peer group.

Special Events

Please mark all in which you intend to participate:

Federal Reporting Requirements Update and Q&A
Preconference: Thursday, November 13, 9:30 – 11:30 a.m.
 Will attend (no additional charge for Assembly registrants)

Opening Reception and Artist Performances
Thursday, November 13, 7:00 – 9:00 p.m.
 Will attend (no additional charge for Assembly registrants)
 With guest ($50 per person)
     Guest Name(s):
     
     Provide the address to which the guest fee invoice should be sent:
     

Joint State Arts Agency / State Arts Advocacy Network Forum
Postconference: Saturday, November 15, 3:00 – 5:00 p.m.
 Will attend (no additional charge for Assembly registrants)

Fees

 Team rate: $425 per person
      Eligibility: When four or more individuals from an agency participate in the full Assembly.

 Individual rate: $475 per person
      Eligibility: When one to three individuals from an agency participate in the full Assembly.

 Louisiana rate: $295 per person
      Eligibility: Louisiana Office of Cultural Development grantees and partners only.
      Rate does not include Peer Group participation on Friday morning, November 14.

 Single day rate: $175 per person
      Eligibility: For individual participation on one day. Attendees participating on two or more days must enroll
      for the Team, Individual or Louisiana rate.
      Select which day you plan to attend:  Thursday  Friday  Saturday

Invoicing

Payment is not required at this time. NASAA will invoice you later.

* Please indicate your invoicing preference:

 Invoice my agency for the registration fee, but invoice me personally for guest fees (if any).

 Invoice my agency for all registration and guest fees (if any).

 Invoice me personally for all fees.

Fees cover Assembly participation and special events only. Registration fees for the arts education Professional Development Institute will be billed separately.

Other Information

Please select all that apply.

 I am a vegetarian.

 I have other dietary needs. Please explain:
 I need accommodations due to a disability. Please briefly describe your needs:

Control code Complete only if directed by NASAA: 

Emergency Contact (optional)

Name of emergency contact:
Cell phone number of contact:

Please review all information before clicking the Register button.

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