2011 NAICU Annual Meeting Media Registration Form

Hyatt Regency Washington on Capitol Hill Hotel
400 New Jersey Avenue, NW
Washington, D.C.
(202) 737-1234 (ask for the NAICU registration desk)

Please send the following information to NAICU via e-mail (mediaregistration@naicu.edu) or fax (202-835-0003) by COB Friday, January 28. If you have questions, contact Tony Pals at tony@naicu.edu, 202-739-0474 (office), or 202-288-9333 (cell).

Annual Meeting schedule: /events/2011-naicu-annual-meeting-schedule.

Please check back regularly for updates.


Name:



___________________________________________________________________________

Title:



___________________________________________________________________________

News Organization:



___________________________________________________________________________

Phone Number(s):



___________________________________________________________________________

E-mail Address(es):



___________________________________________________________________________

Mailing Address:



___________________________________________________________________________