NOCERCC Convention 2005

Convention Registration Form

Please use one form per person

  

  

  

Check One:

  Through December 31st After December 31st

Full Member, 1 person 

$475 $575

Full Member 2+ persons

 $375 $475

Sponsoring Member, 1

 $475 $575

Sponsoring Member, 2+

 $375 $475

Associate Member, 1

 $475 $575

Associate Member, 2+

 $375 $475

Affiliate Member

 $350 $450

Non-Member

 $575 $675

Also sign me up for:

  Date Fee

Pre-Convention Workshop (Sr. Doris Turek, SSND)

 1/31 $75

 New Directors Workshop

1/29 - 30

$300

 

Registration fee includes all convention sessions, expo, materials, six meals, and refreshment breaks. Registrations will be confirmed with payment. If you need to cancel, you may request a refund in writing by December 31; we will refund your registration payment less $150, which is considered a non-refundable deposit.

 

IMPORTANT

In order to keep your information secure, please call the National Office with your credit card information after you have submitted this form.

(312) 226-1890