2023 NSSLHA Conference Registration Form

March 10th, 2023
8:00 am - 4:00 pm

ISU Meridian Room 845

Zoom link to follow

Topics include: Interdisciplinary treatment of ASD, ASD assessment and diagnosis, ASD through the lifespan, social language intervention, sensory feeding

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NAME (first): *
NAME (last): *
EMAIL: *
ASHA # (If applicable)
ISHA # (If applicable) 
How will you be attending the conference?  *
What city are you from?
What is your title? *
What profession are you apart of?  *
PAYMENT:  Please click the link and complete payment. Then return to this form and submit. Once you click the link, choose "Conference Registrations". Add to Cart. Once you have done this you will find a drop down box - choose which category fits you best.
Please also take a look at the merchandise we sell. If you are attending in-person in Meridian, you can pick up the ordered merchandise at the conference, otherwise we have a shipping option as well.
By signing this form, you attest that you already have or plan to pay the conference registration fee.  *
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