One Day Spring Meeting for National Resolutions

ONLINE REGISTRATION FORM

Saturday, April 13, 2019

10:00 am - 3:00 pm

Proud Bird Food Bazaar & Events Center ● 11022 Aviation Blvd.

Los Angeles, California

 

SECTION 1 - CONTACT INFORMATION

NOTE - THIS PERSON MUST BE LISTED AS A PAID REGISTRANT ON THIS FORM

(Person completing this form should be a Unit Officer)

SECTION 2 - REGISTRATION PACKAGE ORDERS

REGISTRATION FEES

 

ADULT - $45.00 – In Advance (Before April 1, 2019)

Includes Lunch on Day of Event

 

ADULT - $55.00 – On Site (After April 1, 2019)

Includes Lunch on Day of Event

 

YOUTH - $7.00 – In Advance (Before April 1, 2019) Limits May Apply

Includes Lunch on Day of Event

 

YOUTH - $10.00 – On Site (After April 1, 2019) Limits May Apply

Includes Lunch on Day of Event


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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

Delegate Role
Unit Officer Title

Delegate Role
Unit Officer Title

YOUTH ADVISOR AUTHORIZATION

CONTACT US

For more information contact the California State NAACP office at  916-498-1898,
or visit: www.ca-naacp.org.