North Carolina Association of Community College Trustees

North Carolina Association of Community College Trustees
2010 Law Seminar
Sheraton Imperial Hotel and Convention Center
I-40 Exit 282 at Page Road, Research Triangle Park, NC 27709, (919) 941-5050
April 7 - 9, 2010

NCACCT Advance Registration Form

Deadline for "Early Bird" Fee: March 23, 2010
No refunds after March 30, 2010

Name:

Title

First

Middle

Last

Nickname/First Name (for badge)

Title: Chair Trustee President Attorney State Board NCCCS Other :

College Affiliation:

Guest Name:

Who should we contact with questions about this reservation?

Name: Phone: Email:

Will Attend (Choose All That Apply):

	Ethics Training
	Chair, Legislative Liaisons & Presidents Meeting
	NCAACA Meeting
	New Trustee Orientation
	Reappointed Trustees Training
	NCACCP Meeting

1) Choose category and fill in total fee (check one):

Registration Package - Leadership Seminar (includes all meals)
	By March 23 - $299	After March 23 - $339

Registration Fee - Leadership Seminar (without meals)
	By March 23 - $225	After March 23 - $245

You must pay a registration fee to be eligible to purchase individual tickets for you or your guests.

2) Meal Tickets

Meal Description	Number of Tickets Needed	Price	Total
Opening General Session Lunch		@ $32.00 each	$
Sponsored Reception & Dinner		@ $36.00 each	$
Breakfast		@ $26.00 each	$

Special Request:
Check here if you have physical of dietary needs.
Please describe your special dietary requests. NCACCT will contact you.

Total Fee (Registration + All Meals): $

Payment: All registrations must be accompanied by a check or purchase order. Make checks payable to NCACCT. Mail to 1135 Kildaire Farm Road, Suite 108-B, Cary, NC 27511.

NCACCT Federal ID No. (TIN) is 23-7431402.

Use this registration form as an INVOICE. A receipt will be mailed to you once payment in full is received.

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