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JUNE 28-29, 2022
YOUNES CONFERENCE CENTER
416 TALMADGE ST.— KEARNEY, NE
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NYCI Ticket Transfer Form
NYCI Ticket Transfer Form
Current Ticket Holder Information
Type of Ticket Change
Transfer Ticket to someone else.
Change from On-line to In-Person
Change from In-Person to On-line
Order Number
The order number of the ticket. This can be found on the PDF invoice that was emailed to you at the time of purchase.
Name
Email
E-mail address of the current ticket holder.
New Ticket Holder Information
Prefix
This field precedes the name. e.g. Judge.
First Name
Last Name
Suffix
This field comes after the last name. e.g. Psy.D. or Ph.D.
E-mail address of the new ticket holder.
Phone Number
A phone number we can reach the new ticketholder at.
Location
A phone number we can reach the new ticketholder at.
Job Title
The new ticketholder's job title as they would like it to appear on their name tag.
Nebraska Bar Number
Only if applicable.
Agency
The agency that the new ticket holder works at, as they would like it to appear on their name tag.
Dietary Restrictions
Please indicate any dietary restrictions you have.
Comments/Questions
Submit