NCNEOA
2010 SPRING IN-SERVICE TRAINING SEMINAR

VENDOR'S REGISTRATION FORM

AFTER PRINTING FORM, PLEASE MAIL TO TIM McLAWHORN

Please mail by May 1st - afterwards bring to the conference

(see address below)

Please fill in all the requested information

Vendor/Company Name:

Representative's Name:

Mailing Address:

City: State: Zipcode:

Phone: ( ) - EXT.:

EMAIL:

Requested Set-up date: / / Number of Days:

Equipment Needed: Table(s) Power

Etc.

Conference Vendor Registration Fee: $500.00

Make checks payable to: NCNEOA

Please print this form and mail it with your registration fee to:

Tim McLawhorn
95 Edgewater Rd
Washington, NC 27889

Registration begins Sunday, May 16, 2010 at 3:00 pm
Training begins Monday, May 17 thru Thursday, May 20, 2010

Your Hotel Reservations are your responsibility:
Hilton Garden Inn at Kitty Hawk
Phone: (252) 261-1290

NCNEOA is a non-profit organization Tax ID #59-1917180