LCNAA 2017 conference Registration Form

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2017 Spring Conference April 6-8 Registration Thank you for registering to attend the LCNAA Spring Conference. We want to make the process as easy as possible. You will need to complete a separate registration form for each individual attending. The Registration Fee is $140, after March 15th the fee is $150.

Full Name First Name

Last Name

Chapter Name

Address Street Address

Address Line 2

City

Country

E-mail

State

Zip Code

Phone Number

Emergency Contact: Name/Relationship/Phone Number


Conference Information The Registration Fee: [Includes ALL MEALS (BK,Lh & Din)] Full Conference Registration $140

Hotel Information: Double Tree Hotel 9100 Basil Court Largo, MD 2077 Phone: 301-773-0700 Group Code: LSC Nightly Rate $119 2 Queen or 1 King

Conference Activity: National African-American Museum Please check the box to indicate that you plan to attend this event. The cost is $15 for the Bus Fee to the museum on April 8, 2017.

Make checks payable to: LCNAA Return this form (filled in) with payment to: Jackie Thompson-Matthews LCNAA Financial Secretary *There are no refunds after March 5, 2017 P.O. Box 1231 Kinston, NC 28503 Email: jtm.princess@gmail.com

Hosted by the Washington, DC Area Alumni Chapter If you have any questions about registration, please call Evelyn Lucas at 1-301-377-1733.


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