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NC ACDA Fall Conference Registration 2017
Join us at Christ Baptist Church for the 2017 ACDA Fall Conference with Dr. Jo-Michael Scheibe! Complete the following form and mail/submit your payment before September 6th for a special pre-registration discount. Checks can be mailed until September 22nd. If you have already mailed the paper form and payment you still need to complete the following form to ensure your registration is complete!
First Name *
Your answer
Last Name *
Your answer
ACDA Membership # *
Please provide your member # in the space titled 'Other' below. You MUST SHOW your current card when you check-in.
Street Address *
street number and name only
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Phone # *
area code first
Your answer
Primary Email Address
Your answer
Work Information: Institution Name *
Required
Work Phone Number
area code first -
Photography Release *
NC ACDA will take photography during the conference for archival and publicity purposes. These pictures may be used on the website, conference recordings, newsletters, and other NC ACDA print materials. NC ACDA has my permission to use photographs taken during the Fall Conference on their website, conference recordings, newsletters, and other NC ACDA mailings without any other express written consent.
Check all that apply *
Required
Registration Type *
Conference Pre-Registration (until September 6th) *
Please choose from the following options. Please note: Membership cards WILL be checked when participants arrive. We are not able to renew memberships on site.
Conference Registration (AFTER September 6th) *
Please choose from the following options. Please note: Membership cards WILL be checked when participants arrive. We are not able to renew memberships on site.
Payment Type *
If you are registered as a Collegiate Attendee, please indicate what school you currently attend:
Your answer
Conference Hotel Information
Hilton North Raleigh/Midtown. Book your room now for the special rate of $129.
Visit the hotel webpage: http://www3.hilton.com/en/hotels/north-carolina/hilton-north-raleigh-midtown-RDUNHHF/
Call the hotel directly at 919-872-2323 or click on "Check Rooms & Rates."
Be sure to enter special group code CHOR for our special rate.
The rate is available October 5-9 if you need to arrive early or wish to stay additional nights.
College Students Please Note
Attend the Fall Conference at the reduced fee of $20, which includes a year of membership! NC ACDA and the National ACDA Office will share the cost of your student membership when you attend Fall Conference. Speak with the NC ACDA Treasurer at the conference registration table.
CEU Credit
If you would like to receive CEU credit for attending the conference, please obtain the pre-approval form from your school system. NC ACDA will provide documentation of your attendance.
Registration Fee Payment
Once you click the button below to submit this online form, you will see a link to pay your registration fee online, as well as the address to which payment can be mailed.
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