One Day Spring Meeting for National Resolutions

ONLINE REGISTRATION FORM

Saturday, April 8, 2017

11:00 am - 4:00 pm

Irvine Marriott ● 18000 Von Karman Avenue

Irvine, California 92612

 

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, 2017)

Includes Lunch on Day of Event

 

ADULT - $55.00 – On Site (After April 1, 2017)

Includes Lunch on Day of Event

 

YOUTH - $7.00 – In Advance (Before April 1, 2017) Limits May Apply

Includes Lunch on Day of Event

 

YOUTH - $10.00 – On Site (After April 1, 2017) Limits May Apply

Includes Lunch on Day of Event


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.