2022 Summit Registration Form 2022 Summit Registration Name* First Last Business Name* Email* Phone*Preferred Payment Method* Credit Card Check NAWR Member?* Yes No Did a member refer you for a non-member discount?* Yes No Name of referring member Enter full name and email address for additional attendees. One per line Event Pricing Member: $200 Member who refers non-member $150 Non-Member with referral: $50 Non-Member: $150 Thursday Dinner (Registrant) - $100 Thursday Dinner (Guest) - $100 Enter full name and email address for EACH GUEST who will be attending the Thursday dinner with the REGISTRANT. One per line
