Annual Meeting Registration Form

NCCBI urges all its members to attend the association's annual Legislative Conference, which will be held Tuesday, May 8, at the Jane S. McKimmon Center on the campus of N.C. State University in Raleigh. The Legislative Conference is increasingly regarded as the official kick-off of the legislative season. We also invite you to spend a relaxing evening with lawmakers at our annual Legislative Reception. There you will be able to share your personal concerns with legislators in one-on-one conversations in a friendly atmosphere. The reception will be held Monday evening, May 8, at the Raleigh Entertainment and Sports Arena. This will be the first time NCCBI has held an event at the new arena, which is the home of the Carolina Hurricanes NHL team and the N.C. State basketball teams. The cost is just $100 for NCCBI members ($120 for non-members) to attend both the reception and the conference.

Please complete the form below to register for the LEgislative Conference. If you have any questions about the event or need more information about registering, call the association at 919-836-1400, send us a fax at 919-836-1425, or write to NCCBI, PO Box 2508, Raleigh, N.C. 27602. For faster service, send an e-mail to kmaynard@nccbi.org .

Legislative Conference Registration Form

First Name:
Last Name:
Title:
Company:
Mailing Address:
City:
State:	ZIP:
Telephone (Including Area Code) :
Fax phone (Including Area Code):
E-Mail Address:
Number of NCCBI attendees, at $100 each
Number of non-member attendees, at $120 each:
Total cost of registrations:
Choose one of the following payment types:
	I will mail in the amount by check Visa MasterCard
Credit Card #:
Expiration Date:	-- mm/dd/yy