4RD ANNUAL 2019 NN ECONOMIC SUMMIT ATTENDEE REGISTRATION
          
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4RD ANNUAL 2019 NN ECONOMIC SUMMIT ATTENDEE REGISTRATION
April 22, 23, & 24 2019
Twin Arrows Casino Resort, 22181 Resort Blvd, Flagstaff, AZ 86004
ONLINE INDIVIDUAL REGISTRATION
ATTENDEE REGISTRATION INFORMATION
*E-Mail:Valid e-mail is required
Company Name:
*First Name:
*Last Name:
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip Code:
Phone:
Cell Phone:
URL/Web Address
BUSINESS OWNERSHIP and INFORMATION
Check all that apply (Defined as 51% owned and controlled)
Navajo-owned Woman-owned Minority-owned Veteran-owned or Service Disabled Veteran-owned 
*Type of Business:
If other:
Previously doing business on the Navajo Nation
Yes No 
CREDIT CARD PAYMENT$200.00 Per PersonNo Refund
Billing - First & Last Name
Credit CardEnter Card Number
Card Brand
Expiration Month
Expiration Year
Security Code (Back of Card)
Zip Code
CHECK PAYMENT - $200.00 Per Person by Cashiers Check or Money Order ONLY!
Make checks payable to BUILDING NATIONS LLC, PO Box 2434, Window Rock 86515. Please reference NN Economic Summit. For payment questions, contact Kathy White 928.310.1299, or email bahkeewhite@icloud.com or summitinfo@navajobusiness.com.
Comment/Questions:
No Refund due to commitment to service providers!
For individual registration information or questions contact Henry @ 505.368.1321, email hsilntmn@frontiernet.net and Elaine @ 928.871.7379 or email eyoung@navajobusiness.com
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