Middle Name

Last Name*

Preferred Name*

Professional Title*

Organization/Jurisdiction*

MAILING ADDRESS

Address*

City*

State*

Zip*

PHYSICAL ADDRESS (if different from mailing address)

Address

City

State

Zip

E-mail*

Office Phone *

Alternate Phone

Fax

MEMBERSHIP STATUS

Check the appropriate box.

I am an NDAA Member

I am a NCJFCJ Member

I am not a member of NDAA or NCJFCJ

If not, are you interested in NDAA membership?

YES NO

How did you learn of this conference? (check all that apply)*

Postcard and/or Brochure NCJFCJ or NDAA Magazine Ad NCJFCJ or NDAA website Friend or Colleague Email Attended Conference in the past Other

If you selected "Other" please list how you learned of this conference.

Check the box below that pertains to your membership status and payment schedule.

PLEASE NOTE: Credit card payments can be made by phone following NDAA confirmation of conference registration by email or by fax using the printable conference registration form. Credit card payments can not be made on-line.

NDAA/NCJFCJ Member $425 Non-Member $450 (early payment received by February 14, 2008)

NDAA/NCJFCJ Member $450 Non-Member $475 (regular payment received after February 14, 2008)

Pre-Conference Workshops

P-1, $69 P-2, $69 P-3, $69 P-4, $69

Additional Information/Comments

Please note: Registration fee includes all educational seminars, training materials, Presidents' Welcome Reception, two lunches and all coffee breaks.

Cancellations Policy:  Cancellations for conference registration must be made prior to February 14 for a full refund. Cancellations received after February 14 and before March 9 will incur a $25 administrative fee. Cancellations received on or during the conference will be assessed a $100 administrative fee. No cancellations for refund will be accepted after conclusion of the conference.