NMFTA 2024 Fall Meeting Registration

Your Information

Question Title

* Please provide your contact information.

First Name

Last Name

Company

Title

City

State

Email Address

Phone Number

Badge Name

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* Please upload a current headshot.

This will be used for the Engagefully app registrant directory.

PNG, JPG, JPEG file types only.

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* Please provide emergency contact information.

Name

Phone Number

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* Is this your first time attending an NMFTA event?

Yes

No

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* Please describe your food allergies or dietary restrictions.

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* Please describe any special accommodations you may need.