EXIT 2020 RDN Day Registration Question Title * 1. Contact Information: Name * RDN # Email * OK Question Title * 2. Member Status NVAND - Student NVAND - Retired NVAND - Regular VAND Outside of VAND OK Question Title * 3. Payment Type: Credit Card Check OK Question Title * 4. Special Diet Requests Yes No Please specify dietary restrictions. OK Question Title * 5. Registration Classification: NVAND Member ($75) - $75 USD NVAND Member plus $10 donation ($85) - $85 USD NVAND Student Member ($60) - $60 USD NVAND Student plus $10 donation ($70) - $70 USD NVAND Retired Member ($60) - $60 USD NVAND Retired Member plus $10 donation ($70) - $70 USD Non-NVAND members (including VAND, MAND, & DCMAND Members; Other Professionals) ($85) - $85 USD Non-NVAND members (including VAND, MAND, & DCMAND Members; Other Professionals) plus $10 Donation ($95) - $95 USD You will pay at the end of this survey. OK Question Title * 6. $10 Donation (above) to the following fund: Intern Scholarship Donation VAND Foundation VAND PAC Donation School Garden Grant Donation No Donation OK Register by Feb. 9, 2020 to take advantage of these discounted early bird registration fees!If paying by check, please make check out to NVAND and mail check and registration form to: NVAND Treasurer Peggy Day 5407 Weymouth Drive Springfield, VA 22151 Early registration postmarked by February 9th. Regular Registration postmarked by March 6th. OK SUBMIT
