Engaging Diverse Communities

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: Registration for this event ended on November 18th, 2009 4:00 PM

NAO Nonprofit Members must enter their member code to receive a discount. For assistance, please call 503-239-4001 or email us at naoinfo@tacs.org

Cost *		$ 25.00 General $ 22.50 Nonprofit Association of Oregon Members
		I will send payment by check or money order. The registration will not be processed until payment is received. To complete the registration and pay by Visa or MasterCard, please fill in card information below.

Email Address *

Event Participant

Promotional Code or NAO Member Number	Please enter your NAO member number if you selected the NAO membership discount above. Questions? Contact NAOinfo@tacs.org.
Attendee First Name *
Attendee Last Name *
Job Title
Contact Type
Business/Organization Name
Phone *

Credit Card Information

Card Type
Card Number	Enter numbers only, no spaces or dashes.
Security Code		Usually the last 3-4 digits in the signature area on the back of the card.
Expiration Date

Billing Name and Address

Enter the name as shown on your credit or debit card, and the billing address for this card.
Billing First Name
Billing Middle Name
Billing Last Name
Street Address
City
Country
State / Province
Postal Code

Notes

Meal Notes

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