2017 NATA Institute for Professional Development

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Now that we are a go, please fill out the form once more and include airline and shuttle information. Thank you!

 

First Name *
Last Name *
Select your FY16 NATA Membership: *
Congregation Name *
Address *
City *
State *
Zip *
Phone: *
Email *
Dietary Restrictions *
Do you have any food allergies?
I am a NATA member and I will enclose the following amount:
I'm not a NATA member and I will enclose the following amount:
PLEASE NOTE: Shared and Private rooms are based on availability. Private room fees may apply if no roommate is available.
I would like a one way group shuttle ride @ $40 one way:
Return shuttles to LAX will depart on March 24th at 7:30 a.m. Please schedule your departure flight from LAX after 10:30 a.m.
Flt Arrival to LAX: List airline, Flight # and Arrival time to LAX
(Maximum characters: 2000)
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Departure: List airline, Flight # and LAX Departure time
(Maximum characters: 2000)
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You're almost done! Don't forget to add the shuttle amount to the cost of the room and insert the total due here. Reservations and payments must be received by September 1, 2016. Check payable (in $USD) to NATA and mail to: P.O. Box 159, Montvale, NJ 07645. *
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