NACIF October 2024 Conference Request to Present Registration Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province and/or Country
Postal / Zip Code
Phone Number with Whats App (If Applicable)
*
Please enter a valid phone number.
Please choose one catgeory.
*
Academic
Finance Industry
Name of Academic Institution or Financial Institution
*
Address of Academic Institution or Finanical Institution
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Registration Fees (Fees are non-refundable)
*
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next
( X )
Presenters within North America
$
100.00
Presenters outside of North America
$
200.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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