EANGTN 48th Annual State Conference Registration
  

  Registrant Information

Registrant Name*

Rank

Unit

If this is a Spouse-Only registration,
please enter the Service Member's Name:

Home Address*

Suite/Apt.

City*

State*

Zip Code*

Phone No.*

Alt. Phone No.

Email Address*
 
  REGISTRATION OPTIONS

If you plan to attend the hospitality room this year, there is a $20 hospitality room fee.
Registrant

Guest 1
Guest 2
Guest 3

  BADGE INFORMATION & Banquent Seating

View seat availability below. You can hover over occupied tables to see who has reserved seats at any given table.
  Name Badge (e.g. John Doe) Choose a Table Choose a Seat Dinner Option

Registrant
 (No Rank)

Guest 1

Guest 2

Guest 3

 

  Banquent Seating

 

  DIETARY NEEDS / ALLERGIES

If any registrants have dietary needs or food allergies (e.g. gluten, vegetarian, etc.), please list them here.

  PAYMENT INFORMATION

By clicking the submit button below, you authorize EANGTN to charge your credit card for the applicable amount. A 2.5% convenience fee is reflected in the total below. Refunds will be made for requests received by April 1, 2026, however, no refunds can be made after that date except in extreme cases.

Name on Card*



Total Amount: $

Card Type*

Card Number*

Expiration Date*

CVC2/CVV2*