First Name:
Last Name:
Name to appear on your name tag:
Company/Organization Name:
Position/Title:
Mailing Address:
City:
State:
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Telephone Number:
-
-
ext.
Fax Number:
E-Mail Address:
(Registration confirmation will be sent via email to the address you provide)
Membership Status
Select the appropriate box:
I am a member of NCACE
I am a Non member
First year of NCACE membership?
Yes
No
First-time NCACE Conference Attendee?
Yes
No
Attention Members: 2009-2010 membership dues must be paid in order to register at the Early Bird or Member Regular rate. If you are in doubt about your membership status, please contact: Glenda Lee at 919-613-8079, email: gslee@duke.edu or Sarah Wilson at 704-330-6359, email: sarah.wilson@cpcc.edu .
Conference Registration Fees*
Please check the appropriate box.
$100 - Member (online registration after March 5, 2010)
$125 - On-site Member/Non-Member** Online registration will terminate on May 10, 2010. After May 10, contact Rhonda Kosusko at rkosusko@elon.edu or 336-278-6538 for on-site registration information. ($125 cash/check only)
*No refunds will be made after April 30, 2010.
**Non-Member is defined as a guest of an NCACE member, or a college, university, or organization that is eligible for NCACE membership.
Thursday Evening Reception
Yes , I plan to attend the Thursday evening reception.
Payment Options (Registration is not complete until payment is received.)
PAYPAL:
NCACE accepts credit card or PayPal payments through PAYPAL. Complete the registration form and "Submit". This will bring up a thank you screen and "Pay Now" button. To pay via credit card or PayPal click on the button. You will be taken to a PayPal page. Credit card payers should arrow down to the section for credit card payments. PayPal account holders will log in as normal.
CHECK:
(NCACE Taxpayer ID# 56-1313958)
Print a copy of the confirmation page and send with your check made payable to “NCACE 2010 Conference Registration” (NCACE Taxpayer ID# 56-1313958) to:
NCACE
PO Box 2612
Davidson, NC 28036-2612
HOTEL ACCOMMODATIONS
Embassy Suites
201 Harrison Oaks Boulevard, Cary, North Carolina, 27513
1-919-677-1840
Call the hotel directly to make your room reservation; please be sure to provide the group name to receive
the discount rate: NC Association of Colleges & Employers or NCACE.
For more hotel information, see http://www.embassyraleighdurham.com/
Overnight accommodations are available at the following rate: $109 plus tax per night
Reservations must be made before Thursday, May 20, 2010.
Parking is available in the lot in front of the hotel.
Please check with the hotel for their cancellation policy in case you need to change your reservations. Any guest who does not show up for their guaranteed reservation and does not cancel their reservation prior to 6 p.m. a day prior to their arrival, will be assessed a fee of (1) nights room and tax to their guaranteed method .
Meals
I would like to request vegetarian meals.
North Carolina New Member Mentor
YES! I would like to mentor a new member.
To volunteer to be a mentor, or for questions about being a mentor, please contact Mark Werbeach at
910-962-3174 or werbeachm@uncw.edu
Registration Questions?
For questions about conference registration please contact:
Rhonda Kosusko
NCACE Conference Registration Co-Chair
Tel: 336-278-6538
Email: rkosusko@elon.edu
Thank you!
ERROR: You must enable Javascript/Active Scripting in order to register.