Registration Form s11

REGISTRATION FORM MMC ACADEMY AND SPRING ANNUAL CONFERENCE NORTH CAROLINA ASSOCIATION OF COUNTY CLERKS March 26 – 28, 2014 Ramada Convention Center – Burlington, North Carolina “WE’VE GOT THE POWER”

Name: ______Title: ______County/COG/Company: ______Mailing Address: ______Telephone: ______Fax: ______Email: ______

Thursday Master Municipal Clerks (MMS) Academy Fee ($105): $ ______Spring Conference Registration Fee ($205): $ ______(Includes: Friday Lunch; Friday Dinner & Tour; Saturday Banquet; Breakfasts are included with hotel registration.)

_____ Yes, I plan to attend the Friday afternoon Tour to Caswell County _____ Yes, I plan to ride the bus to Caswell County

Name(s) of Guest(s): ______

Please indicate the number of extra ticket(s) needed for guest(s): Breakfast is included with your hotel stay $ ______n/a______Friday Lunch ______tickets @ $18.00 each $ ______Friday Dinner & Tour ______tickets @ $30.00 each $ ______Saturday Banquet ______tickets @ $30.00 each $ ______Total $ ______

REGISTRATION DEADLINE: TUESDAY, MARCH 10, 2015

Please make checks payable to: North Carolina Association of County Clerks Return registration form and check to: Paula Seamster, Clerk to the Board Caswell County PO Box 98 Yanceyville, NC 27379

REMEMBER TO BRING DOOR PRIZES AND GOODIE BAD ITEMS!!

Room Reservations: Just as a reminder, you are encouraged to make your room reservations by March 6th if you plan to attend, by calling 1-336-227-5541 for the Ramada Inn or 336-584-0151 for the Best Western. Group Code: NC ASSOCIATION OF COUNTY CLERKS.

Room rates for the Conference are as follows: Ramada Inn $63.75 + tax per night Best Western $70.00 + tax per night