2025 Conference Registration

NEBSA Annual Conference Registration Form

Organization Name:

Organization Address:

City, State Zipcode:

Voice Phone Number:

Fax Phone Number:

If you hold an FCC License within the Educational Broadband Service Spectrum (EBS), please enter one of your callsigns otherwise leave this blank.

EBS Callsign:

First Name:

Last Name:

Email:

Title:

Contact Number: