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NERA’s 62 National Conference
October 6-9, 2022, Washington, DC
Name (Last, First, MI): ___________________________________________________________________

Rank (Or ‘Civilian’): _________________________ Branch: USN USMC USCG

Address: ________________________________________________________________________________
City, State, Zip Code: _____________________________________________________________________
Phone Number: (Home) __________________________ (Cell) ___________________________________

Email: _________________________________________ Nickname (For Name Tag:) _________________
NERA Chapter: ______________________________________________ Please indicate if no chapter affiliation

SPOUSE/GUEST NAME (Last, First, MI): ____________________________________________________

Is Spouse/Guest a NERA Member or Associate Member: Y N
Spouse/Guest Nickname (for Name Tag): _____________________________________________________

Book your hotel room at:
COURTYARD MARRIOTT DUNN LORING-Rate $89.00 per room, plus taxes
This form will NOT reserve your hotel room.
Rooms can be booked online via nera.org or (703) 573-9555
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Please enter number of people attending and multiply by amount noted

All Inclusive Registration #______x $110.00 $____________

• Meet and Greet Mixer Thursday • Dinner Friday
• Meetings on Friday and Saturday • On-Going Hospitality Suite
• Breakfast in Meeting Friday, Saturday & Sunday

Spouse/Guest Meal Options (for spouses/guests of attendees who will NOT be attending meetings)

Friday Dinner #______x $60.00 $____________

On-Going Hospitality Suite Donations Accepted $ ___________

Conference Booster Roll Minimum $5 $____________
Names of donors will be listed in Conference Book
**Please list name(s) on the back of the registration
form TOTAL: $
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PAYMENT INFORMATION: Credit (VISA, MASTERCARD, DISCOVER or AMEX) OR Check (Check#)_______
Credit Card # - - - Exp Date ______/______
Signature ______________________________________

CONFERENCE PAYMENT INFORMATION
Make Checks Payable to NERA
Mail Registration Form (with Payment) to: NERA 8116 Arlington Blvd, Ste 220, Falls Church, VA 22042
Questions should be addressed via email to Jennifer Abbott or Yvette Purtill: [email protected] or [email protected]
Questions by phone: Steve Sandy (703) 534-1329

The Naval Enlisted Reserve Association 9