Registration Form NIPF Registration Name Title Agency/Firm Address Line 1 Address Line 2 City State Zip Phone (###) ###-#### Email Please List Any Dietary Accommodations Needed Arrival Date * Departure Date * Registration Type Treasurer Treasury Staff Academic Speaker NAST Member NAST Non-Member Organization Type Government Nonprofit Private Years of Experience Working in Public Finance 1-2 3-5 6-10 10+ Please Indicate Attendance Sunday Evening Dinner Reception Monday Breakfast Monday Lunch Monday Evening Dinner Reception Tuesday Breakfast Tuesday Lunch Tuesday Evening Dinner Reception Wednesday Breakfast Wednesday Lunch Select the Track in Which You Are Interested Investment and Pensions Executive Treasury Management Public Finance and Debt Management Interested in CPE Credit Yes No After submitting this form you will receive an invoice for your registration by email. Upon receipt of payment, we will make a hotel reservation for the attendee at the Four Seasons Westlake Village checking in on Sunday, July 23 and checking out on Wednesday, July 26. If you would like a hotel room for any additional nights, please contact Christina LeRubio at 310-568-2396 or firstname.lastname@example.org. F.E.I.N.: 592017623. The NAST Foundation is a 501(c)(3) organization. Please include a copy of this invoice and/or account codes on check or addendum for proper credit.