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HBCU-NBDC 2024 Convention Registration Form
April 3-7, 2024; Atlanta Evergreen Lakeside Resort, Stone Mountain, GA
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Email
*
Your email
Date
*
MM
/
DD
/
YYYY
Your Name
*
Your answer
Your College/University/K-12 Institution
*
Your answer
School Address
*
Your answer
Your Phone Number
*
Your answer
Your Department Chair/Principal's Name and Email Address
*
Your answer
Specialty Area (Check one)
*
Woodwind
Brass
Percussion
Strings
Other:
Profession Status (Check One)
*
Active/Current Instructor/Assistant
Retired
Inactive Instructor/Assistant
Other:
Type of Participation
*
Institutional Participation (Additional College/University Students)- Fee $25.00 each
Associate Membership (K-12 Educators)- Fee $50.00
College Students/Grad Students (Non-HBCU)- Fee $25.00
HBCU-NBDC 2022 Honoree-FREE Complimentary Membership
Banquet Attendance Only - $50.00
Other:
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