Greater North Carolina Jurisdiction Women's Department 31st Annual Women's Convention PRE-REGISTRATION FORM

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Please read ALL information below before completing the form.

**REGISTRATION**
PRE-REGISTRATION - $15.00
(includes Convention Tote Bag; Souvenir Journal & Program Booklet, etc.)

PRE-REGISTRATION and BANQUET TICKET (1) - $40.00

Deadline August 24, 2019

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On-site Registration Fee - $20.00 (Limited quantity of Convention materials available)

**HOUSING REGISTRATION**
NOTE: All individuals are responsible for making their own hotel accommodations.

Host Hotel Information
Hampton Inn & Suites
405 Hinton Oaks Blvd
Knightdale, NC 27545
919-217-6810

Room rate: $121.71 (tax inclusive and complimentary breakfast)
Group Name: COG-Women’s Conf
Group Code: WOM

**ABSOLUTE CUT-OFF DATE**
AUGUST 15TH
After this date room block will be released for general sales

**ADDITIONAL INFORMATION**

Mother Mary L. Greene Benefit
Banquet Ticket - $25.00
SOUVENIR JOURNAL ADS
$100.00 Full Page Ads Only
Deadline: August 24, 2019

All Ads must be emailed to: conventionads30@gmail.com

Feel free to email us if you have any questions at gncjwomensconvention@gmail.com

Email *

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip: *

Phone: *

District: *

District Missionary: *

Would you like to purchase your registration and a Mother Mary L. Green Benefit Banquet ticket for $40? *

Yes

Required

If you would like to volunteer or be involved with any part of the 31st Annual Women's Convention please list your area of interest below. *

A copy of your responses will be emailed to the address you provided.

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