Annual Conference 2024 Group Registration I am submitting this form for:(Required) A group of 10 or more individuals from one organization A group of fewer than 10 individuals from one organization Name of Organization(Required) Email of Submitter(Required) Please enter your own email address.Name of Primary Contact(Required) First Last Primary Contact's Pronouns(Required) Phone Number of Primary Contact(Required)Address of Organization(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code HiddenIs the attendee a member of NAMI Vermont?(Required) Yes No Membership status will be confirmed after registration. If you are unsure whether you are a current NAMI Vermont member, call 802-876-7949 x100.How many individuals from your organization will attend the conference?(Required)Please enter a number from 10 to 25.Group Registration Cost Per Person Price: How many individuals from your organization will attend the conference?(Required)Please enter a number from 1 to 9.Group Registration Cost Per Person Price: Total How would you like to pay for this registration?(Required) Credit Card (via PayPal) Mail a check If you choose pay by check, your registration will not be confirmed until we have received the payment.Will you (or the attendee) need any accommodations? If so, please describe them. I would like to receive the NAMI Vermont biweekly e-newsletter. Yes Payment Method(Required)PayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged.
