ONSITE REGISTRATION PLEASE COMPLETE ALL FIELDS IN SECTION 1 OR YOU MAY PROVIDE A BUSINESS CARD. SNA MEMBER? YES SECTION I CO ON NTTA AC CTT C INFORMATION Exhibitor NO Join Today (Info on Reverse Side) Non-Exhibitor Viewing Exhibits Only Name:______________________________________Rank/Rate: __________________________ Email:______________________________ Command/Employer: __________________________ Address: _______________________________________________________________________ City:____________________State:____Zip Code:_____________ Country: _________________ Cell Phone: _____/_______-_________ Status: Active Duty Office Home Reserve Retired Military Civilian SECTION II SY YM MP PO OS SIIU UM MR RE EG GIIS STTR RA ATTIIO ON N S SEMINAR PROGRAM ONLY – Presentations Marked with * on Schedule *To Qualify for Active Duty Pricing All Reservists MUST Attend the Events in Uniform No Charge - *Active Duty/Reserve No Charge Civilian Gov’t Employees *contractors excluded SNA Members $150.00 ** Non-Members $190.00 TUESDAY Retired Flag Officer Briefing No Charge – Open to Retired Flag Officers Only THURSDAY O6 & O5 Briefing - No Charge JO/MIDN Roundtable and Luncheon USCG Cutterman’s Call - No Charge *Active Duty/Reserve/Retired O5-O6 Only *Active Duty/Reserve/Retired (All Services) No Charge –*Active Duty/Reserve (MIDN; O1-O4) Awards Luncheon _____ # of Tickets *Active Duty/Reserve – Member $20.00 *Active Duty/Reserve – Non Member $25.00 All Other SNA Members $35.00 All Other Non SNA Members $45.00 Enlisted Roundtable and Luncheon No Charge –*Active Duty/Reserve/Retired Military (E-1 through E-9) WEDNESDAY International Luncheon *Active Duty/Reserve – Member *Active Duty/Reserve – Non Member All Other SNA Members All Other Non SNA Members $20.00 $25.00 $35.00 $45.00 Banquet & Reception _____# of Tickets *Active Duty/Reserve $20.00 All Other SNA Members $75.00 All Other Non SNA Members $85.00 Naval Heritage Lecture ______ # of Tickets @ $5.00 Each SE EC CTTIIO ON N IIV V S PA AY YM ME EN NTT IIN NFFO O P ** Non member fee will be charged if unable to verify membership** Symposium Total Due: $______________._______ (Section II) Membership Total Due: $ ______________._______ (Section III – Reverse of this page) Total: Cash $ ______________._______Verified by: _________________________________ Check (Check #: ) Visa MC AMEX CC#:________________________________________ Exp Date:__________________________