2024 NDGA Convention Retailer | Attendee Form

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October 15-16, 2024 DELTA by MARRIOTT | Fargo, ND

FOR ROOM RESERVATION: CALL DELTA BY MARRIOTT HOTEL DIRECTLY AT 701-277-9000 EXT. 4 (YOU MUST USE THE EXTENSION)

Please fill this form out for each individual person attending the convention. For a mass attendee list, please use the PDF form.

Full Registration

Price: $104.00

Tuesday Night Social

Price: $52.00

Wednesday Breakfast /Membership Meeting

Price: $26.00

Included if you selected FULL REGISTRATION

Wednesday Noon Lunch | Speaker

Price: $52.00

Included if you selected FULL REGISTRATION

Wednesday Evening Social - Casino Night

Price: $78.00

Included if you selected FULL REGISTRATION

Total

Company Name (as shown on signage)(Required)

Contact person(Required)

First Last

Attendee Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Signature(Required)

Date(Required)

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Comments

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