Register for Napa's Summer Institute, July 21-25, 2021

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This registration form provides DIA members the discounted $2100 rate. Payment will be billed, and must be received at DIA by June 15, 2021. But don't delay - hotel reservations are limited, and conference registration is needed in order to make a hotel reservation.

* First Name (as you would like to appear on your name badge) *

* Last Name (as you would like to appear on your name badge) *

Title and/or Company (as you would like to appear on your name badge) *

Email address *

Cell phone or primary phone *

Mailing Address - street & number *

Mailing Address - country *

Mailing address - city *

Mailing address - State *

Zip/postal code *

What is your age range?

18-24

25-34

35-44

45-54

55-64

65-74

75 or older

Clear selection

Pursuant to the Americans with Disabilities Act, do you require specific aids or services? *

Visual

Audio

Mobile

Not applicable

Please select the information you give us permission to share with other attendees: *

First and Last Name

Company

Email Address

Cell Phone or Primary Phone

Mailing Address

Do Not share ANY of my information

Other:

Required

Is this your first time attending this conference? *

Yes

If no, how many times have you attended?

Other:

Are you affiliated with any of the following organizations?

Legatus

Knights of the Holy Sepulcher

Knights of Malta

Papal Foundation

Other:

Please select the types of events you would be interested in attending in the future:

Pilgrimages/Experiences

Conferences

Symposiums

Small Group Regional Meetings

Other:

Would you like more information regarding sponsorship opportunities for this year's event?

yes

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