Page 4 - January 2019 BOD Meeting - Mailer and Board Registration Form

NABCA JANUARY BOARD OF DIRECTORS MEETING 2019

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

SPOUSE TELEPHONE SPOUSE E-MAIL

EMERGENCY CONTACT TELEPHONE
ITINERARY

(This information is crucial for food functions & rooming guarantees. Thank you for your cooperation.)
Registrant Arrival 01/_______ /19 _______ AM/PM Departure 01/_______ /19 _______ AM/PM
Spouse Arrival 01/_______ /19 _______ AM/PM Departure 01/_______ /19 _______ AM/PM
Yes, I will be attending the dinner at the Healing Garden on 1/7. Yes, I will be attending the dinner at the Social Eatery on 1/8.
LODGING INFORMATION

NABCA has secured a room rate of $269.00 for single/double occupancy plus 12% tax.
The room rate includes complimentary internet access and wi-fi at the hotel, beach club and golf club, unlimited local phone calls,
complimentary exercise classes, golf practice area privileges with clubs and shoes, bicycle use at hotel and beach club, tennis court usage
and golf club with racquets and balls, beach umbrellas, use of snorkels, masks and fins, body boards, use of kayaks and paddleboards
at hotel, use of fishing poles at hotel, beach club and golf club, complimentary 24-hour access to Fitness Center and scheduled shuttle
service to St. Armands Circle, Beach Club on Lido Key and Golf Club.
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 no later than 72 hours prior to arrival
of any cancellations or changes in stay.

RETURN BOTH THE REGISTRATION FORM AND THE ACTIVITY FORM

NO LATER THAN FRIDAY, DECEMBER 7, 2018!

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