Basic Benefits Course Registration & Payment Check/Mail

Mailed Check Registration

Complete all fields below with the attendee's information

^*First Name:

^*Last Name:

^*Your Position:

^*Office Name:

^*Address:

^*City:

^*State:

-- Select a State -- Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota North West Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming Yukon Territory

^*Zip Code:

^*County Name:

^*Phone:

Fax:

^*Email:

^*Are you a:

CVSO
Employed by a county
State Service Officer
Employed by a state
Volunteer
Other (provide explanation)

Other:

^*Select Course Dates:

August 23 – 26, 2021

If you are a paid member for 2021, select the $350 payment option.
 
If you are not a member or have not yet paid your 2021 membership dues, select the $400 payment option.
 
If you are eligible for membership and selected the $400 option, your membership will be activated.
 
Membership criteria can be found by clicking the link below.

https://www.nacvso.org/membership/category-865ca542-2c72-4d1a-adac-56061f573562.aspx

^*Class Fee:

-- Select One -- $350.00 Members $400 Non-members (2021 membership included if eligible)

^*I agree to mail my payment within 45 days:

Yes
No

Feedback / Message:

^*Security Key:

Newsletter:

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Send payment as soon as possible in order to reserve your seat:

Make checks payable to NACVSO:

NACVSO
Basic Course 2021
P.O. Box 878
Brunswick, Ohio 44212-9998
 

By clicking submit you are now registering for the NACVSO Basic Benefits Course 2021. 

Check your email (junk folder to!) for confirmation of registration.

Thank you!