REGISTRATION
Copyright ฉ 2009 by "NECRA"
All Rights reserved
NeCRA SPRING CONVENTION REGISTRATION

April 20 at Midtown Crossing, Omaha, Nebraska

April 21, 2018
at
Rowhouses at SoMa Gallery Space
1125 Leavenworth
Omaha, Nebraska


Name: ______________________________________________________ญญญญญ__________ญ    
Indicate one:  Case Catalyst __________  Eclipse ญญ__________    
         *****   ONLY FILL OUT THE FOLLOWING INFO IF IT HAS CHANGED, PLEASE  *****
Address: _______________________________________________________________
City: ______________ญญญญญญ_______________________________ญญ_  State: _______________
Business Phone:________________ Home Phone:_____________________________ญญญญ_
NCRA ID#: _______________________ E-mail: ________________________________
Certifications: __________________________________________________________ญ_

Employed by: ญญญญญญญญญญญญญญญญญญญญญญ_________________________________________________________________

Registration:  
Friday:          $10  ________ (if wanting credit)
Saturday       $75  ญญ________                                           
Dues:         $100  ________
Late Fee:      $15  ________    

ADD A $15.00 LATE FEE IF REGISTERING AFTER APRIL 13, 2018.   DUES ARE MANDATORY IF ATTENDING THE CONFERENCE UNLESS YOU WORK OUTSIDE NEBRASKA/COUNCIL BLUFFS.

TOTAL:    _________

PLEASE SEND YOUR REGISTRATION AND CHECK BY APRIL 13, 2018.
                Make checks payable to NeCRA and mail to:                                                                                    
Peg Fleissner
Juvenile Court
1210 Golden Gate Drive
Papillion, NE 68046

Questions?  Call Peg at 402-593-5919 or peglet@sarpy.com