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NALA Visit Report

23 Sep 2021

Please fill out the following form and submit one week from date of visit.

Step 1 of 3

33%

Is this an Original or an Amended report?

Original

Amended

Date

MM slash DD slash YYYY

Name (Member attending site visit)

First Last

NALA Materials Sent

Type of Visit/Event

Affiliated Association Event

Tradeshow Event

School or Other

Event Information

Affiliated Association or Tradeshow Name

Name/Title of Event

Location

Address(Required)

City State

Contact Person

Name

Phone

Email

Attendance (Actual or estimate)

Door Prize Winner's Contact Information Sent to Headquarters?

Yes

No

Door Prize Winner's Name

Prize Drawing Slips/Business Cards Given to Headquarters?

Yes

No

Value Added/Positive Take-a-ways for NALA

Any Booth or Visit Issues or Concerns?

Areas of Improvement - How can we make it better?

Follow-up or Pending Items

Comments

During your travel on this visit, were you involved in any accident or incident?

Yes

No

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