Page 4 - January 18 BOD Mailer and Reg Form_BOARD_Neat

NABCA JANUARY BOARD OF DIRECTORS MEETING 2018

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/_______ /18 _______ AM/PM Departure 01/_______ /18 _______ AM/PM
Spouse Arrival 01/_______ /18 _______ AM/PM Departure 01/_______ /18 _______ AM/PM
Yes, I will be attending the dinner at the Olive Grove on 1/7. Yes, I will be attending the dinner at the Pool Deck on 1/8.

LODGING INFORMATION

NABCA has secured a room rate of $199.00 for single/double occupancy plus 14.61% State and Hotel occupancy tax.

The room rate includes the resort fee. The daily resort fee includes: daily wireless Internet access throughout the resort, wellness classes
offered through The Well Spa, Fitness Center, Golf Baggage Storage, Newspaper, In-room coffee service, and self-parking.
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 72 hours prior to arrival of any
cancellations or changes in stay.

RETURN BOTH THE REGISTRATION FORM AND THE ACTIVITY
FORM NO LATER THAN MONDAY, DECEMBER 11, 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