Registration We are glad to see you're interested in joining with NLOMA for the 2020 Conference! In order to register for this event, please complete and submit the following registration form.Registrant Basic InformationRegistration IDName* First Last Gender*MaleFemaleEmail* Enter Email Confirm Email Cell Phone*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Organization Name*If not currently associated with a Camp, please put none. PositionEmergency ContactName* First Last Relationship*Phone*Registration & HousingPlease select double occupancy if your spouse and/or child is attending with you. I'll be attending…*Conference & Joint RecruitmentConference OnlyJoint Recruitment OnlyHousing - Conference & JR*Single Occupancy - $607Double Occupancy - $422Triple Occupancy - $377Quad Occupancy - $342Housing - Conference Only*Single Occupancy - $508Double Occupancy - $365Triple Occupancy - $334Quad Occupancy - $306Housing - JR Only*Single Occupancy - $216Roommate Request 1 First Last Roommate Request 2 First Last Roommate Request 3 First Last Spouse RegistrationConference & JR - $322Conference Only - $265NoneSpouse NameIf Spouse is attending. First Last Child RegistrationFor Children 12 and under. Conference & JR - $160Conference Only - $125NoneChild NameIf Child is attending. First Last Are You a NLOMA Member?*Non-Members pay $100 more for Conference Fee. Go to nloma.org/membership/ to enroll as a member today. I'm a NLOMA MemberNot a NLOMA MemberAre you registering as an Emerging Leader?YesNoHave you been approved for the Emerging Leaders grant?For registrants who have applied for and been awarded an Emerging Leader grant.YesNoArrival & DepartureArrival Method*I am driving.I am flying.Arrival InfoNLOMA Shuttle includes return. Lied Lodge shuttle is $60, which will be charged to your guest room and paid upon check out. NLOMA Shuttle OmahaNLOMA Shuttle Kansas CityLied Lodge ShuttleFlight Number (Arrival)Arrival TimeDeparture InfoLied Lodge shuttle is $60. You will need to contact and pay them separately. NLOMA Shuttle - OmahaNLOMA Shuttle - Kansas CityLied Lodge ShuttleFlight Number (Departure)Departure TimePersonal Needs & PreferencesDietary RestrictionsNoneVegetarianVeganGluten-freeLactose IntolerantDo you have any mobility issues we could help accommodate?PaymentAre You a NLOMA Member? Non-Members pay $100 more for Conference Fee. Go to nloma.org/membership/ to enroll as a member today. Total $0.00 Payment*You can either make an online payment or mail in a check. Process online paymentPrint and send check via postal mailCredit Card* Card Details Cardholder Name Submitting this form will provide you with a printable PDF conference registration that you can then mail along with payment.PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.