NCPSMA
  • Home
  • Upcoming Events
  • Convention Info.
    • Western Convention
    • Eastern Convention
  • Officers
  • The Beacon
    • Advertising Information
  • Main. Director List
  • Join
  • Committee Members
  • District Information
  • Jay Palmer Scholarship
  • About Us
    • By Laws
    • NCPSMA History
  • Job Postings
  • NCPSMA/Saffelle of the Year Award Winners

41stAnnual NCPSMA Eastern Convention/Workshop

                  September 25-27, 2013

               Crystal Coast Civic Center

                    Morehead City, NC

 *Regular Member or Retired Regular Member Registration Form

 

Please Print

Name __________________________________________________

Spouse/Guest name(s) (if attending banquet) _________________

Address ________________________________________________

City, State, Zip __________________________________________

Name of School System (LEA) _____________________________

Office Phone #_________________  Fax #____________________

E-Mail  Address_________________________________________

 

I wish to register as follows:

Member Registration ($60) each                             $____________

Includes lunch on Thursday and Friday.

Banquet tickets must be purchased separately.

Banquet Ticket ($10) each                                        $____________

Spouse or Guest Banquet Ticket ($10) each            $____________

 

Preregistration deadline is August 15, 2013

Late Registration Fee (After August 15, 2013)

Member ($70) each                                                   $ ____________

Includes lunch on Thursday and Friday.

Banquet tickets must be purchased separately.

Banquet Ticket ($10)                                                 $_____________

Spouse or Guest Banquet Ticket ($10) each            $_____________

 

Total Enclosed                                                           $_____________

 

There will be no refunds after (August 30, 2013)

Please make checks payable to NCPSMA and mail to

NCPSMA, 630 Adams Ridge Road, State Road, NC 28676.

LEA's sending one check for multiple registrations need not fill out individual registration forms.

A single sheet listing the individual names of those they wish to register along with the LEA name,

address, phone number, fax number and contact person will be sufficient.

* Employed by or retired from a NC Public School System.

All others must register through Roxie Mack at 336 366 4939 or rrm1@surry.net.

Proudly powered by Weebly