NCASG Conference Registration Form

Please complete the following information to register for the NCASG annual conference to be held in Laramie, Wyoming from September 21, 2025 through September 24, 2025!

Registrations before August 1st = $350 per attendee (unless waived by bylaws)
Registrations on August 1st or after = $400 per attendee (unless waived by bylaws)

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Attendee Name *

First

Last

Attendee Job Title *

Attendee Agency/Organization *

Attendee State Represented *

Attendee Email *

Attendee Phone Number *

Name the Agency/Organization

Guest Attendee Name(s)

Guests are optional. The guest fee is $75 per guest and covers meals listed on the agenda only. Guests do not attend the conference sessions.

Total Amount Due *

This amount includes the registration fee for the attendee, plus $75 for each guest if applicable. If you have a registration fee waiver, use $0.00 for the registration fee cost.

Select the applicable choice(s). *

• I will pay online via the NCASG website
• I will mail a check payable to NCASG
• Registration Fee Waiver (one included in membership)
• Registration Fee Waiver (other/see comments)
• I am requesting an invoice

Mailing address for checks: NCASG | c/o Ms. Terry Pickett | 9303 W. Iowa Avenue | Lakewood, CO 80232

Comments, Special Requests, Questions

For further assistance, contact admin@ncasg.org.

Billing Contact Name (if different than attendee)

First

Last

Billing Phone Number (if different than attendee)

Billing Email (if different than attendee)

Submit Registration