NAIA ZAPP? Digital Viewing Opportunity Registration
August 17, 2005
Noon - 2:30 PM
Lake Oswego, OR (Lakewood Center for the Arts)

Name: ________________________________________________
Address: ______________________________________________
City, State, Zip: _________________________________________
Telephone: Day/Evening/Cell _____________________________
Email: ________________________________________________

Are you a current NAIA member? Y___ N___
If you are not a current NAIA member and wish to join, you may do so here:
https://naia-artists.org/join/index.htm

Seminar Fees: Check those that apply.

All attendees:

___ $25.00

Payment methods:

Check: Fill out and mail this Registration form, along with your check
payable to NAIA, to the address below.
Credit Card: Fill out this this Registration form, including your credit card
information, and mail to the address below.

Credit Card
Name on card: __________________________
Credit card: _____________________________
Expiration: _____________________________

MAIL TO:
NAIA Digital Viewing Opportunity
c/o Ardath Prendergast
72 Douglas St.
Homosassa, FL 34446

Space is not guaranteed until your payment is received.
Back to Seminar Credit Card Registration