Event Registration For NLG Level 3 *Post-Pay: @Event Site Seattle, Washington
For NLG Energy Members Only - Aug.19-21
Event Information
DoubleTree Suites by Hilton- Seattle Airport/ Southcenter Address: 16500 Southcenter Parkway Seattle, WA. 98188s
Attendee Information
Please fill name and contact information of attendees.
Your Name/Ho va Ten
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
City/State
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
example@example.com
Contact Number/So Phone
*
Please enter a valid phone number.
Date of Birth/Ngay Sanh
*
Please enter a valid phone number.
Age/Tuoi
Ethnicity (Check all that applies)
Vietnamese
Caucasian
Chinese
Filipino
Hispanic or Latino
Others
Completed Level 1&2?/ Hoc Lop 1&2 Chua?
Hoc Lop 1/ Level 1
Hoc Lop 2/ Level 2
Chua hoc lop NLG nao/ None
Do you need help with Vietnamese to English Translations?
Please Select
Yes
No
Disability and Special Accommodations (Check all that Applies)
Vision Impaired 1
Hearing Impaired
Mobility Impaired
Mobility Impaired -w/ WheelChair
Others
Any Special Accommodation Required
Please include the names of registered people who will help or accompany you during the event. All disability companions must register for NLG and this event.
* NLG Energy Source không chịu trach nhiệm về tình trạng bệnh lý của học viên khi tham gia chưã lành và bảo vệ sức khoẻ bằng phương pháp Năng Lượng Gốc. (NLG does not subtitude professional medical advise or consultation with healthcare. NLG is not responsible for your health condition).
ĐÃ ĐỌC VÀ XÁC NHẬN (I AGREE )
Please reserve my seating at the Seattle Level 3 NLG event. I will pay at the reservation desk prior to the event. *Please note that you may be contacted to come in 1 day earlier to register and pay at the event. Thank you.
Type Yes Please Reserve 1
Submit
Should be Empty: