NC National Guard Association
58 Annual Convention & NCNG Combined Ball Registration Form th
Hilton Raleigh North Hills, Raleigh, NC
16-17 March 2019
NCNGA Member
First Convention
Registrant’s Name ________________________________________________ Rank ________ (For Combined Ball Purposes)
Guest Name _________________________________________________________ Address _____________________________________________________________________________________________ City __________________________________________________________ State ________________ Zip _____________ Telephone __________________________________Email ____________________________________________________ Please select your Affiliation: ____ 30th ABCT
____ 60th Troop Command
____ JFHQ ____ 139th Regiment (CA)
____ 130th MEB
____ Air Guard
____ 449th TAB
____ 113th SUS BDE
____ Associate Class/Retiree
____ Volunteer
** No Refunds after 1 March 2019 ** Early Registration (1 November 2018 – 31 December 2018)
_____@ $50 per person = $______________
Registration (1 January 2019 – 22 February 2019)
_____@ $55 per person = $______________
LATE Registration (23 February 2019 – 14 March 2019)
_____@ $60 per person = $______________
Business Session only
_____@ $0 per person = $______________
Credit/Debit Card Fee
_____@ $3 per person = $______________
Are you attending the Membership Meetings? Yes
No
Are you a Vegetarian?
Total
Method of Payment:
Yes
No
= $______________
_________Check enclosed (payable to NCNGA) _________Charge my Credit/Debit Card ($3.00 fee per person)
Card #_________________________________________________________ Expiration Date ___________ CVV________ (on back of card) Signature ________________________________________________________________________________
Complete & return to:
NCNGA, 7410 Chapel Hill Rd. Raleigh, NC 27607 or Fax to 919-859-4990 or scan to katie@ncnga.org Questions please call 919-851-3390 Hilton Raleigh North Hills, 3415 Wake Forest Road Raleigh, North Carolina 27609-7330
For Hotel Reservations: Rooms Rates From $115 per night plus taxes. Guests can call directly by dialing 919-872-2323, OPTION 1 (reservations). By referencing group code GUARD, they will receive the block/rate no later than February 12, 2019. Or you can book online using the link below: http://www.hilton.com/en/hi/groups/personalized/R/RDUNHHF-GUARD-20190314/index.jhtml?WT.mc_id=POG