2013 RLNC Spring Convention Registration
Please complete the following registration form and choose payment method at the end of the form. The convention will be located at the Pinehurst Inn in Pinehurst, NC on March 10 - 12, 2013. Registration Deadline is February 15th.The registration fee is $100 for adults and $60 for children from 6 -17. Golf will be available on Monday afternoon on #3 course for $89 (nonrefundable) per person. If you have people from different locations please complete separate registrations.

A $75 late registration fee will be charged after February 15th.

Company Name *
This will appear on name tag
Your answer
Location - City *
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Your answer
Location - State *
This will appear on name tag
Your answer
Contact Phone Number/Email Address
In case we have questions
Your answer
# of Adults Attending *
Your answer
# of Children Attending (6-17) *
children under 6 do not need to register
Your answer
How many will attend Monday Night Dinner? *
Your answer
How many will attend Monday breakfast? *
Your answer
How many will attend Tuesday breakfast? *
Your answer
How many will play Monday golf? *
$89 per person to be paid with registration
Your answer
Name(s) of persons playing golf
Your answer
Who is attending this conference?
These names will appear on name tags.
Attendee name *
Your answer
Attendee name
Your answer
Attendee name
Your answer
Attendee name
Your answer
Attendee Name
Your answer
Attendee Name
Your answer
Payment Details
If you need an invoice please print before you hit the SUBMIT button. You do not need to send an invoice with your check if you have completed this form.
Payment Method *
Mail Check
Electronic Check
Credit/Debit Card
Complimentary Guest
Please chose one
Total Registration Fee Included *
$100 per Adult, $60 per child (6-17), plus $89 per person for golf
Your answer
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