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2012 NAIFA Convention
May 2-4, 2012

Ramada Inn
Grand Forks, ND
Please contact the Radisson Inn to make your reservations and state that your are with NAIFA
 

Please complete and remit with payment to: NAIFA-ND
        1811 E Thayer Avenue
        Bismarck, ND 58501

To pay by Credit Card . Click Here Please complete registration and fax (701.222.0103) or mail to NAIFA-ND. If you have questions, send an email to info@naifa-nd.org

I am a member of (Please check all that apply)

FIC      NAIFA-ND Fraternal Congress Non-Member

Early Registration: (before April 15, 2012)
Member              $155.00
Non-Member     $355.00
LILI Grad             $140.00
1st Timer          $130.00

Additional Banquet Tickets - $25 each
           Banquet Tickets

Late Registration (After April 15)
         Member                 $180.00                       Non-Member        $380.00

Please print Name exactly as you would like it to appear on your name badge.

Name          
Designation(s)
Company       
Address       
C/S/Z          
E-mail        
Tel           
FAX              
   Enclosed is my
      check in the amount of: