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Space Exploration Alliance 2012 Blitz

February 26-February 28, 2012 in Washington, DC
Online Conference Registration

If you are an NSS member and the fields below are empty, click
Fields marked with a red asterisk * are required.
Enter "n/a" for fields that do not apply.

Section I – Contact Information

*First Name(s):     *Last Name:  
(Please select your Country first.   If not found, select your Continent to bring up list.)
*Country:
*Street Address:
*Town/City:      
*State/Province:     Other:  
Please provide an email address to receive confirmation of this transaction.
*E-Mail Address:
*Phone Number:      
Fax Number:
Membership # (if known):  
Member of Congress:
Date of Birth:
Have you participated in a congressional briefing event before?   Yes   No
If so, please describe briefly below (include organization represented)

Section II – Registration Information

WILL ATTEND:
(check days that you
intend to participate)
Sunday (February 26) training (2pm-5pm - required)
Monday (February 27)
Tuesday (February 28)
Registration Options:
Adult $25
Student (requires valid student ID) $0

Registration Fee:
$

By Registering, I certify that I will be at least 18 years of age on or before February 26, 2012. (Minors are encouraged to attend but must be accompanied at all times by a parent or an adult with legal responsibility for the conduct and safety of the minor. Both Minor and guardian must register to attend).
All Applications are subject to approval and acceptance by the National Space Society.

   

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