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NJA Event Registration
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Your e-mail address is your Username. Please save your E-MAIL ADDRESS AND PASSWORD in a safe place, so you can return to edit your form and insert your rooming list.
User Information
Passwords must meet the following criteria:
Must be 8 characters in length
Must contain one capital letter
Must contain one lower case letter
Must contain one number
Email
Password
Password confirmation
Primary Contact
Primary Contact First Name
Primary Contact Last Name
Primary Contact Mobile Phone #
Primary Contact Alternate Phone #
Organization Address 1
Organization Address 2
Organization City
Organization State
Organization Zip
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