NGMA 2012 Spring Meeting

NGMA cannot guarantee availability to walk-in registrants. NGMA cannot refund cost of meal tickets. Cancellation deadline is March 22. Cancellations must be submitted via mail, email or fax for a refund. All fees are in USD.

Contact Information:

Business Name:

Street Address:


City:	State:	Zip Code:

Phone:	Fax:

Email:


NGMA Member Regular Registration Rate	$625.00 per person
Includes: Sunday reception; Monday breakfast, morning sessions, lunch and tour; Tuesday breakfast, Tuesday session, lunch, reception and dinner.

Companion Registration Rate	$360 per person
Includes: Sunday reception, Monday breakfast, lunch and tour; Tuesday breakfast, lunch, reception and dinner.

Golf Rate	$110 per person
Includes: Lunch and a round of golf at Patriot Points Links Golf Course on Charleston Harbor.

Registration:

Names as it should appear on Name Badge:

NGMA Member Regular Registration @ $625 per person

Companion Regular Registration @ $360 per person

Golf @ $110 per person

Email:

Phone:

Emergency Contact Name:

Emergency Contact Phone Number:

Please check here if you require any special dietary attention or have a disability and require accommodations to fully participate in this meeting. A staff member will contact you to discuss your specific needs.

Total Payment:

Total Payment	$

Method of Payment:

Name on Card:

Card Number:	16 characters left.

Select Card Type:

Expiration Date:	example: ( MM YY )

3-Digit Security Code: