REGISTRATION INFORMATION Please register one attendee per form. Duplicate if necessary.

First Name Last Name

Nickname for Badge Title

Agency/Company

Address

City State/Province Zip/Postal Code

Daytime Phone

Email

r I have the following special needs:

Age Range: r 20 or Under r 21-30 r 31-40 r 41-50 r 51-60 r 60+

REGISTRATION FORM

Employer Type (check one)r 9-1-1 Boardr Government Agencyr PSAP/Emergency Communications Centerr Police/Sheriff Departmentr Fire/EMS Departmentr System or Wireless Provider/Equipment Vendorr Consultantr Other (please specify) ___________________________________

Job Classification (check one)r Director/Agency Headr Manager/Supervisorr 9-1-1 Coordinator/Government Officialr Marketing/Salesr Project Engineer/System or Equipment Designerr Company President/CEOr Database, Addressing, or GIS Manager/Developerr Dispatcher/Call Taker/Radio Operatorr Education/Trainingr Other (please specify)_______________________________________

SEND PAYMENT BY MAIL, FAX, OR EMAIL TO:ATTN: NENA 2018 Registration 5 Executive Court Suite 2 South Barrington, IL 60010

Fax: 847.277.7414

Email: registration@goeshow.comSubject: NENA 2018 Registration

r I decline to share my contact information with the official event sponsors and exhibitors.r I decline to share my partial contact information (name/employer/city/state) in the attendee-to-attendee conference directory.

METHOD OF PAYMENT: All payments must be in U.S. Dollars. Your registration will NOT be processed without payment.

r Check / Money Order payable to NENA

r MasterCard r Visa r American Express

Card # Exp. Date

Cardholder Name Signature

INTERNAL USE ONLY

ID #:

Invoice #:

Notes:

REGISTRATION CATEGORIES

Member: Must be a current/active NENA MemberMember ENP: Must be a current/active NENA Member and hold the ENP certification Non-Member: Not a current/active member of NENA

CANCELLATION POLICY

All refund requests must be in writing. Refunds will be issued less an administrative fee of $100 per registrant. Registrant substitutions from the same organization may be submitted in writing at any time with no penalty. If the membership status of the substitute differs from that of the original registrant, a refund or additional charge may apply. All refunds will be issued after the conference. No refunds will be issued for requests received after May 18, 2018. Submit requests to: Fax 847.277.7414; or Email: registration@goeshow.com

Save time and paper. Register online at nena.org/nena2018-register

Continued on reverse

FULL CONFERENCE REGISTRATION Early Bird Thru 5/4/18 Regular By 6/15/18 On-Site Subtotal

r NENA Member (#______________________) $599 $699 $749 $r NENA Member ENP (#______________________) $549 $649 $699 $r Non-Member $749 $849 $899 $r Tennessee Resident $549 $649 $699 $Free Add-Onsr I will attend the Regional Breakfast on Monday for the following region: r Canadian r North Central r Northeastern r Southeastern r Western r Int’l.r I will attend the Young Professionals Mixer on Tuesday (open to all, but recommended for those ages 40 and younger or in their first five years in the profession).

Kick-Off Celebration

Regional Breakfast

Opening Keynote

Tuesday Keynote

Board Installation

Lunch & Keynote

Education&

Training Sessions

Free Thursday Workshops

Expo Hall &

Buzz Sessions

Coffee & Doughnuts

with Exhibitors

Expo Hall Prize-a-Palooza

(Tuesday)

Guest Tour(RCA or

Music Row)

PSAP Tours

Closing Celebration

Full Conference • • • • • • • • • • • •Monday One-Day • • • • •Tuesday One-Day • • • • •

WednesdayOne-Day • • • •

Guest • • • • • •Closing Only •

Expo Only • • •

ADD A PRE-CONFERENCE COURSECourse fees not included in conference registration.

r One Course — Member $169 $199 $199 $r One Course — Non-Member $245 $275 $275 $r Two Courses — Member $270 $300 $300 $r Two Courses — Non-Member $395 $425 $425 $

SELECT YOUR COURSE(S)

CENTER SUPERVISOR OR CTO PROGRAM Friday, June 15–Sunday, June 17 (8:30 AM–5:00 PM Fri./Sat.; 9:30 AM–6:00 PM Sun.)

r Center Supervisor — Member $300 $350 $r Center Supervisor — Non-Member $350 $400 $r CTO Program — Member $300 $350 $r CTO Program — Non-Member $350 $400 $

CENTER MANAGER CERTIFICATION PROGRAM 8:30 AM–5:00 PM Member Non-Member

r Tuesday, June 12–Saturday, June 16 (CMCP registration fee does not include conference registration.) $1,000 $1,200 $

CMCP ALUMNI SEMINAR 9:30 AM–6:00 PM Member Non-Member

r Sunday, June 17 $99 $129 $

WHAT’S INCLUDED?

Sunday Courses — June 17 (9:30 AM – 6:00 PM)r Advanced Fire & EMS Dispatchingr Advanced Police Dispatchingr Effective Call Handling Strategies for Individuals with Disabilities

r PSAP Designr Quality Assurance: Achieving QA/QI in the PSAP

Saturday Courses — June 16 (8:30 AM – 5:00 PM) r Cybersecurity in the PSAPr Enhanced Caller

Management

ONE-DAY REGISTRATION (Please check only one)Select day: r Monday $299 ($349 On-Site) r Tuesday $299 ($349 On-Site) r Wednesday $299 ($349 On-Site) $

GUEST REGISTRATION

r Name: ________________________________________________________________________________________ $100 $Select one tour: r Monday: Historic RCA Studio B Tour OR r Tuesday: Music Row Confidential Bus Tour

STAY & PLAYr Discover Nashville Food Tour—Thursday, June 21 (10:00 AM–1:00 PM) $85 (Quantity _____) $r Tennessee Whiskey Tour—Thursday, June 21 (11:00 AM–5:00 PM) $140 (Quantity _____) $

CLOSING CELEBRATION ONLY

r Name: __________________________________________________________________________________ $75 $

EXPO ONLYr Expo Hall Only Registration $75 $

THURSDAY WORKSHOP 8:00 AM–1:00 PM (No charge for full conference registrants, but pre-registration required—Select only one)r Drones & Public Safety $r ENP Exam Prep Boot Camp $r High Performance CPR $

TOTAL DUE: $

N/C

N/CN/C

Early Bird Thru 5/4/18

Early Bird Thru 5/4/18

Regular By 6/15/18

Regular By 6/15/18

Regular

On-Site

(Check only one course each day)