Peer to Peer Discussion Facilitator Release Form

Honorarium

NATA pays an honorarium to help compensate and thank presenters at NATA's educational endeavors.

Please check one of the boxes if you wish to donate all or part of your honorarium to the NATA Research and Education Foundation or the NATA Political Action Committee (NATAPAC). I would like to donate [ Fill in text box below ] % of my honorarium to the NATA Foundation.

I would like to donate [ Fill in text box below ] % of my honorarium to the NATA Foundation.

I  would like to donate [ Fill in text box below ] % of my honorarium to NATAPAC.