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NABCA JANUARY BOARD OF DIRECTORS MEETING 2016
Registration Form
RESERVATION INFORMATION
R EG I STRA NT NAME BA D G E NA M E
O R G A N I Z AT I O N
ADDRESS
C I T Y, STATE, ZIP
TELEPHONE E-MAIL
S P OUS E NAME BA D G E NA M E
TELEPHONE SPOUSE E-MAIL
ITINERARY
(This information is crucial for food functions & rooming guarantees. Thank you for your cooperation.)
Registrant Arrival 01/_______ /16 _______ AM/PM Departure 01/_______ /16 _______ AM/PM
Spouse Arrival 01/_______ /16 _______ AM/PM Departure 01/_______ /16 _______ AM/PM
LODGING INFORMATION
NABCA has secured a special nightly room rate of $165.00 for single/double occupancy plus 12.05% state and local tax.
The room rate includes internet, local phone calls, access to fitness center and shuttle service to La Encantada Shopping
Center.
NABCA will arrange all lodging accommodations, so please indicate your preferences below.
Room Type: ____King ____Queen/Queen Other Requests:______________________________
(including dietary restrictions or food allergies)
REGISTRATION FEE: $995 CHECK ENCLOSED (payable to NABCA) -or-
NABCACREDIT CARD NUMBER
FEE WAIVEDPRINT CARDHOLDER’S NAME AUTHORIZED SIGNATURE DATE $
EXPIRATION DATE
AMOUNT
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 MONDAY, DECEMBER 14, 2015!
NABCA 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.
