30TH ANNUAL CALIFORNIA HAWAII NAACP STATE CONVENTION

CONVENTION REGISTRATION FORM

SECTION 1 - CONTACT INFORMATION

INSTRUCTIONS: Please provide the name and contact information for the person responsible for advance registration package pickup. IMPORTANT - THIS PERSON MUST ALSO BE LISTED AS A PAID REGISTRANT IN SECTION 2.

Registering Person Responsible For Advance Registration Package Pick-Up

SECTION 2 - REGISTRATION PACKAGE ORDERS

REGISTRATION FEES

 

ADULT - $250.00 – In Advance (Before September 30, 2017)

Includes Breakfast, Lunch and Dinner on Friday/Saturday. Breakfast on Sunday.

 

ADULT - $300.00 – On Site (After September 30, 2017)

Includes Breakfast, Lunch and Dinner on Friday/Saturday. Breakfast on Sunday.

 

YOUTH - $15.00 – In Advance (Before September 30, 2017) Limits Apply

Includes Breakfast, Lunch and Dinner on Friday/Saturday. Breakfast on Sunday.

 

YOUTH - $25.00 – On Site (After September 30, 2017) Limits Apply

Includes Breakfast, Lunch and Dinner on Friday/Saturday. Breakfast on Sunday.

 

ADULT - $75.00 – On Site (No Meals)


Registering Person Responsible For Advance Registration Package Pick-Up
Delegate Role
Unit Officer Title

Delegate Role
Unit Officer Title

Delegate Role
Unit Officer Title

Delegate Role
Unit Officer Title

Delegate Role
Unit Officer Title

Delegate Role
Unit Officer Title

Delegate Role
Unit Officer Title

Delegate Role
Unit Officer Title

HOTEL INFORMATION

Hotel reservations must be made directly with the LAX Marriott - 5855 W Century Blvd - Los Angeles, CA 90045. (Hotel Phone: 310-641-5700) Single room rates are $139.00 per night, plus tax. For more information contact the California State NAACP office, or log on to: www.ca-naacp.com.

SECTION 3 - EXTRA TICKET ORDERS

INSTRUCTIONS: Use this section to order additional meal event tickets that are NOT already included with your registration package order.

EXTRA TICKET ORDER PRICES

 

$30.00 - HEALTH BREAKFAST - Friday

$50.00 - LABOR LUNCHEON - Friday

$85.00 - YOUTH FOCUS DINNER - Friday

$30.00 - POLITICAL BREAKFAST - Saturday

$50.00 - ANNUAL POLITICAL LUNCHEON - Saturday

$85.00 - ANNUAL AWARDS DINNER - Saturday
$30.00 - RELIGIOUS BREAKFAST - Sunday