Registration


  We are requesting advance confirmation of your intent to be with us this year.  Due to cost increases we will need as accurate an accounting of participation in advance as possible.  Please forward a deposit of $50.00 to $100.00 towards your registration fee and reserve your place in the Circle. Room reservations are also critical to our bottom line. Please make them NOW.
 We are asking you to indicate your arrival and departure dates and times. We are always concerned about ensuring adequate provisions for those attending the Weekend Retreat. The largest expense we incur for the weekend is the meals.
We need your continued help to be more accurate in assessing food need based on actual information received in the registration process. No Shows will be billed for the cost of food, if no prior arrangements are made. The economic climate continues to increase the need for our commitment to cooperative economics. This event is completely funded by your participation.

Make it your personal goal to bring at least one new person with you! We ask that you make a special effort to get the word out to our Brothers, specifically.  See you there!

 

 

Registration Form

A HOTEL ROOM RESERVATION IS A MANDATORY PART OF THE REGISTRATION

HOTEL RESERVATIONS MUST BE MADE PROMPTLY

(ROOM RATES CANNOT BE GUARANTEED AFTER SEPTEMBER 2017

Group Name: 28th Annual International Black African Heritage Caucus Retreat

Group Code: BAH 


First Name
Middle Name
Last Name
E-mail Address
Address Line 1
Address Line 2
City
State
Zip Code
Country
Daytime Phone() -
Evening Phone() -
NCBI Chapter or Campus Affiliation
My arrival date and time will be
My departure date and time will be
Special Dietary Needs
Physical Needs


Registration payment of $475 ($600 if attending Pre-Weekend Leaders Day) is due on or before October 4, 2016

Payment made after October 4, 2016 will be charged an additional $25.00

*Cancellation Policy: Refunds are not provided after September 30, 2016