NACT 2017 National Conference Registration Form


May 31 - June 2, 2017
Princeton Club
New York, NY

Registration is open to members, spouses/guests and non-member treasurers. Your badge name and company should appear as you want them to appear on your badge. Payment in full must accompany this registration form. Cancellations must be made in writing. Written notice of cancellations received at NACT headquarters by April 30, 2017 are entitled to a full refund, less a $250.00 service charge. Registration cancellations received on or after April 30, 2017 are nonrefundable. If you are paying by check, please return this form along with payment to: National Association of Corporate Treasurers, 11130 Sunrise Valley Drive, Suite 350, Reston, VA 20191. If you are paying by credit card and fax your registration, please do not also submit your form online — this may result in double payment.

* = required
First Name: *
Last Name: *
Badge Name:*
Company: *
Mailing Address Line 1: *
Mailing Address Line 2:
City: *
State/Prov.: *
Zip+4: *
Daytime Phone: *
E-mail: *
Spouse/Guest Name:
If you have a disability, have dietary needs or require special accommodations in order to participate. Please specify:

Payment Information

Fees  *
Member Registration
(includes all meeting sessions, materials and social functions)
Complete Spouse/Guest Meeting Registration Package
(includes all conference social functions and breakfasts)
Total Due:
Charge the above amount to *

American Express Card    Master Card    Visa  
Card Holder Name: *
Credit Card Number: *
Expiration Date: * /


For planning purposes, please identify the events you are likely to attend and how many individuals will be attending.

Opening Reception (May 31)  Yes    Number Attending:
Reception and Dinner (June 1)
at the Princeton Club
 Yes    Number Attending: