NCNEOA
2012 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 20, 2012 at 3:00 pm
Training begins Monday, May 21 thru Thursday, May 24, 2012

Your Hotel Reservations are your responsibility:
Marriott Carolina Beach Courtyard
Phone: (910) 458-2030

NCNEOA is a non-profit organization Tax ID #56-1917180