I authorize FNGLA to process my credit card for the
specified on this form.
It is the intention of FNGLA to comply fully with the Americans with Disabilities Act. Anyone
planning to attend these programs that have special needs, please make FNGLA aware of these
Please check here if you require special
accommodations to fully participate.
Please check here if you would prefer vegetarian meals.
Cancellations must be in writing before November 1, 2017 to receive 90% refund.
No refunds after November 2, 2017.