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:
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
*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:
'36' '99'
Type of Business
Construction
Professional Service
Wholesale
Retail
Manufacturing
Research Laboratory
Design/Engineering
Artisans
*Not in Business
(If Other: Please specify at bottom)
If other:
Previously doing business on the Navajo Nation
Yes
No
CREDIT CARD PAYMENT
$200.00 Per Person
No Refund
Billing - First & Last Name
Credit Card
Enter Card Number
Card Brand
Choose a Card
American Express
Discover
Master Card
Visa
Expiration Month
Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Year
Year
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
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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