NFNM Reception Registration

Nicotine Free New Mexico Top Golf Reception Registration
We are excited to have you join us for Nicotine Free New Mexico's Reception at Top Golf on Wednesday, June 24th from 11:00 a.m. - 1:00 p.m. This reception will provide free play at the Top Golf bays for 2 hours, a cantina style buffet, and free swag bags for attendees. Please provide the following information to register for the reception.

If you have any questions, please reach out to events@constellationnm.com.
Name

First NameLast Name
Email
example@example.com
Organization
Please list your organization or affiliation (ex. Constellation Consulting, LLC., University of New Mexico, etc.)
Please choose your dietary preferences below:

Other
Please list special allergy below:
Example: Tree nuts, gluten allergy, shellfish, etc.
Travel Scholarship/Stipend

Scholarships/stipends may be available for individuals travelling 60 miles or more one way to the reception. If you are travelling 60 miles or more and are requesting a travel scholarship or stipend, please indicate so below.

For more information regarding travel scholarships, reach out directly to events@constellationnm.com.
Are you requesting a travel scholarship or stipend to attend?
Should be Empty:

Nicotine Free New Mexico Top Golf Reception Registration