ICFNE February Event Registration
Tell us about yourself!
*
First Name (that you would like on your name tag)
*
Last Name
*
Street Address
Address Line 2
*
City
*
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
*
Zip Code
*
Phone Number
*
Email:
Please choose the session(s) you would like to attend:
I would like to come!
I am
not
yet a ICFNE Member.
Afternoon Only $49
Evening Only (includes light buffet) $74
Both Afternoon and Evening (includes light buffet) $84
I
am
an ICFNE or Affilliate Member.
Afternoon Only $39
Evening Only (includes light buffet) $59
Both Afternoon and Evening (includes light buffet) $69
If you are an Affiliate Member, please tell us the name of your Affiliate Group:
It is my First Time attending ICFNE
Credit Card Information
Our orders are processed by PayPal. Once your form has been submitted you will be forwarded to PayPal where you will then enter in your payment information.
*
Indicates Response Required