Page 4 - NABCA Sept BOD Mailer and Registration Form_BOARD
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NABCA SEPTEMBER BOARD OF DIRECTORS MEETING 2017


                               BOARD REGISTRATION FORM






       REGISTRANT NAME                                      BADGE NAME


       ORGANIZATION

       ADDRESS


       CITY, STATE, ZIP                                     E-MAIL


       TELEPHONE                                            CELL PHONE

       ASSISTANT NAME                                       ASSISTANT E-MAIL                     ASSISTANT TELEPHONE


       SPOUSE NAME                                          BADGE NAME

       TELEPHONE                                            SPOUSE E-MAIL


       ITINERARY

       (This information is crucial for food functions & rooming guarantees. Thank you for your cooperation.)
       Registrant      Arrival 09/_______ /17   _______ AM/PM         Departure 09/_______ /17     _______ AM/PM
       Spouse          Arrival 09/_______ /17   _______ AM/PM         Departure 09/_______ /17     _______ AM/PM
           Yes, I will be attending the dinner at the Quartz on 9/17.            Yes, I will be attending the dinner at Mulligans on 9/18.


       LODGING INFORMATION


       NABCA has secured a room rate of $250.00 for single/double occupancy plus 9% State and Hotel occupancy tax.
       The room rate includes valet parking, on-property shuttle service, Fitness Center access (not inclusive of wet areas), wireless internet,
       local and toll free calls, outdoor pool access, in-room coffee or designated complimentary coffee areas, newspaper, 3:30 pm Art Tours
       Sunday - Friday, Fallingbrook Mini Golf, tennis courts, carousel rides and hiking/winter trails access.
       Room Type:  ____King       ____Queen/Queen       Other Requests: ____________________________________________________
                                                                                             (including dietary restrictions or food allergies)


       CONFIRMATION

       Please note: You will receive a reservation confirmation email directly from the hotel. NABCA will send a second confirmation email with
       further important details 1-2 weeks prior to the meeting.


       CANCELLATION INFORMATION

       All rooms are guaranteed for late arrival by NABCA. In order to avoid penalties, please notify NABCA 7 days prior to arrival of any cancellations
       or changes in stay.






      RETURN BOTH THE REGISTRATION FORM AND THE ACTIVITY FORM

                          NO LATER THAN FRIDAY, AUGUST 18, 2017!






       4401 Ford Avenue, Suite 700, Alexandria, VA 22302 • Secure Fax:  (703) 824-3377
       Contact the Meetings Department at (703) 578-4200 or meetings@nabca.org with any questions.                 Page 1 of 2
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