Speaker Registration

Name *

First Name

Last Name

Cell Phone *

(###)

###

####

Additional phone

(###)

###

####

Additional phone type

Office

Home

Second mobile phone

Mailing Address *

Not for publication

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I have read NAREE’s Conference Policy Statement on https://www.naree.org/conference-code-of-conduct-policy *

I confirm that I have read and will abide by NAREE Conference Policy Procedures.

I will be arranging accommodations at: *

Please support NAREE by reserving a room in NAREE’s room block.

I will be staying at the conference hotel

Other (please write below)

Hotel check-in date

MM

DD

YYYY

Check-out date

MM

DD

YYYY