Page 4 - September Board Meeting Mailer
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Board Registration FormNABCA SEPTEMBER BOARD OF DIRECTORS MEETING 2016

REGISTRANT NAME	      BADGE NAME

ORGANIZATION

ADDRESS			

CITY, STATE, ZIP

TELEPHONE	            E-MAIL

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 9/_______ /16	 _______ AM/PM	     Departure 9/_______ /16 _______ AM/PM

Spouse	           Arrival 9/_______ /16	 _______ AM/PM	     Departure 9/_______ /16 _______ AM/PM

Yes, I will be attending the dinner in the Atrium on 9/18.  Yes, I will be attending the dinner in the 5ive Restaurant on 9/19.

LODGING INFORMATION

NABCA has secured a room rate of $180.00 for single/double occupancy plus 10.5% room and occupancy tax. The room rate includes
complimentary high-speed Internet in guest rooms and access to the Sports 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 3 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 26, 2016!

                    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.
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