Southern Region of The National Council of Black American Affairs

Member Online Registration

Posted on: June 24th, 2017 by ncbaaso

MEMBER CONFERENCE REGISTRATION FORM

Important Registration Information

  • Enter your title, name, position, and institution as it should appear on your badge and in the attendee list.
  • Separate registration forms must be submitted for each individual attendee.
  • You will be able to pay online after you submit your registration form online.
  • The conference registration deadline is October 9, 2017.
  • Your attendance is acknowledgement that photos of you may be taken by staff and used in conference-related media.

Title: First Name: Last Name:

Position Title: Institution/Company Name:

Mailing Address: City: State: Zip Code:

Phone: Email: Any Dietary Restrictions?

Please mark your attendance plans:

After submitting your online registration form, click the link here to submit your registration payment. ->