2019 NAPSEC Annual Leadership Conference Registration Form

2023 Rich Robinson Memorial Golf Classic

REGISTRATION FORM

Wednesday, January 18th

ENGLISH TURN
Name *

First Middle Last
Agency
Email *
Phone number *

Area Code Phone Number
Please indicate any food allergies or special diet requests *
Are you a first time attendee?

Yes No
Payment

Credit Card Mailing a Check
Mail Check

Please complete and submit your online registration below, and send payment to: Danielle Damm NAPSEC 200 Massachusetts Ave NW Suite 700 Washington, DC 20001
Rich Robinson Memorial Golf Classic Registration

Rich Robinson Memorial Golf Classic - $100 (1 Golfer) - (indicate golfer's name below) - Wednesday January 18th - Green fees, lunch, and (2) alcoholic beverages included. Rich Robinson Memorial Golf Classic - $200 (2 Golfers) - (indicate golfer's names below) - Wednesday, January 18th - Green fees, lunch, and (2) alcoholic beverages included. Tricky Tray Raffle Voluntary Contribution - $100 Please add a voluntary contribution of $100 to my registration fee to support the Tricky Tray Raffle and the NAPSEC Foundation
Total
NAPSEC ANNUAL LEADERSHIP CONFERENCE REGISTRATION

Rich Robinson Memorial Golf Classic

Rich Robinson Memorial Golf Classic (indicate golfer's name below) - Wednesday, January 18th Green fees, lunch, (2) alcoholic beverages and a goodie bag are included. $ 100.00

Quantity

Tricky Tray Raffle Voluntary Contribution - Please add a voluntary contribution of $100 to my registration fee to support the NAPSEC Foundation $ 100.00

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Golfer Information
Golfer (1) Name

First Name Last Name
Golfer (1) handicap/average shot/18 holes
Golfer (1) Renting Clubs

Yes No
Golfer (2) Name

First Name Last Name
Golfer (2) handicap/average shot/18 holes
Golfer (2) Renting Clubs

Yes No
THANK YOU FOR YOUR REGISTRATION!

Return to NAPSEC Conference Website
Should be Empty:

Mail Check