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National Congress Institute
Leadership Development Team
Senior Staff and Admin
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National Congress Institute Sign-up Form
*This form is for registration only. After you register we will email an invoice form to the guardian listed on the form.
If you would like to pay with a credit card make sure to check the box listed at the bottom.
Student First Name
Student Last Name
Student City of Residence
Student State of Residence
Student Grade (in Fall 2023)
Guardian First Name
Guardian Last Name
Guardian Phone Number
I would like to pay by credit card.
If you select this option, YV will email a unique and secure Chase for Business payment link to the address you provided in the field above. Please note that there is a 2.9% transaction fee, so your total will be $618.00.
If you do not wish to pay by card, click
for other payment methods.
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