National Governmental Collector's Association

2012 National Court Collection Conference Registration - Pay By Check

Registration fees are non-refundable but may be applied to another conference.

Registration Information
Name of Organization:
First Name:
Last Name:
Title:
Address:
City:
State:
ZIP:
Business Phone:
Business Fax:
Reply to Email:
How did you hear about the conference?:
Registration Type:
Membership Registration Rate- $399.00
Non-Membership Registration Rate- $430.00
 *Membership ID#:   
(required for Member registration only)

Make checks payable to NGCA.

Mail payment and registration form to:


                                                                                                                                                                                                                                   NGCA                                                                                                                               

848 N. Rainbow Blvd. #559
Las Vegas, Nevada 89107

You may pre-register by submitting this online form or by emailing a printout of this form or confirmation to conferenceconsultant@ngcagov.org.