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UNCF 73RD NATIONAL ALUMNI COUNCIL 61ST NATIONAL PRE-ALUMNI COUNCIL

ATLANTA MARRIOTT MARQUIS AND ALUMNI SUMMIT


FEBRUARY 7-10, 2019

PRE-ALUMNI REGISTRATION FORM


MEMBER INSTITUTION

PRIMARY CONTACT TITLE

ADDRESS SUITE

CITY STATE ZIP

PHONE (O) PHONE (C) EMAIL

ADDITIONAL CONTACT TITLE

PHONE (O) PHONE (C) EMAIL

REGISTRATION FEES

REGISTRATION FEES
REGISTRATION FEE SUBTOTAL (PRE-ALUMNI) ___ @ $160 $________
REGISTRATION FEE SUBTOTAL (ADVISORS) ___ @ $250 $________ REGISTRATION FEE INCLUDES:
GENERAL REGISTRATION FEE (PRE-ALUMNI) ___ @ $200 $________ AFTER (12/31/18) • Engaging Workshops
GENERAL REGISTRATION FEE (ADVISORS) ___ @ $325 $________ AFTER (12/31/18) • Empower Me Tour Friday
• Student Career Readiness Day
TOTAL AMOUNT SUBMITTED $________ • UNCF Legacy Award Gala
• Miss National UNCF Coronation
p CHECK ENCLOSED

p CREDIT CARD p VISA p MASTERCARD p DISCOVER p AMERICAN EXPRESS


UNCF SCHOOL SPIRIT DAY:
CREDIT CARD NUMBER CVC# EXP / / Saturday, February 9, 2019

SIGNATURE WEAR YOUR SCHOOL T-SHIRT


AND/OR PARAPHERNALIA
MAIL REGISTRATION FORM WITH PAYMENT TO: UNCF/NAC For more information,
Attn: Kristina Broughton call Kristina Broughton
229 Peachtree Street, NE, Suite 2350 at 404.302.8623, or email
Atlanta, GA 30303 kristina.broughton@uncf.org

STUDENT ATTENDEES

1. FIRST NAME LAST NAME

MAJOR GRADUATION YEAR

CELL PHONE EMAIL

2. FIRST NAME LAST NAME

MAJOR GRADUATION YEAR

CELL PHONE EMAIL

3. FIRST NAME LAST NAME

MAJOR GRADUATION YEAR

CELL PHONE EMAIL

4. FIRST NAME LAST NAME

MAJOR GRADUATION YEAR

CELL PHONE EMAIL

CONNECT • INSPIRE • LEAD


UNCF.org/NAC.CONF2019
ADDITIONAL REGISTRATIONS
STUDENT ATTENDEES

5. FIRST NAME LAST NAME

MAJOR GRADUATION YEAR

CELL PHONE EMAIL

6. FIRST NAME LAST NAME

MAJOR GRADUATION YEAR

CELL PHONE EMAIL

7. FIRST NAME LAST NAME

MAJOR GRADUATION YEAR

CELL PHONE EMAIL

8. FIRST NAME LAST NAME

MAJOR GRADUATION YEAR

CELL PHONE EMAIL

9. FIRST NAME LAST NAME

MAJOR GRADUATION YEAR

CELL PHONE EMAIL

10. FIRST NAME LAST NAME

MAJOR GRADUATION YEAR

CELL PHONE EMAIL

11. FIRST NAME LAST NAME

MAJOR GRADUATION YEAR

CELL PHONE EMAIL

12. FIRST NAME LAST NAME

MAJOR GRADUATION YEAR

CELL PHONE EMAIL

GENERAL INFORMATION NO-SHOW POLICY


Because of the administrative cost of registration
ROOM RESERVATION
Reservations should be made directly with the
VOTING ELIGIBILITY
Pursuant to Article IV, Section 1(d) of the
and preparation of materials for each participant, Atlanta Marriott Marquis by calling and requesting constitution and bylaws of the UNCF National
REGISTRATION no refunds will be given to persons not attending the Reservations Department at 866.469.5475. The Alumni Council, the following groups that are
All attendees must be registered in order to the conference or those who fail to properly hotel requires that you secure your reservation in good standing shall be entitled to have voting
participate in the activities of the conference. cancel their registration prior to Jan. 13, 2019. for arrival after 4 p.m. with a major credit card. delegates at the annual conference of the NAC:
Badges and/or tickets will be required for Cancellations can be made up to 72 hours prior 1) each Inter-Alumni Council shall be entitled to
admittance to all activities. RETURNED CHECK POLICY to arrival. Reservations by attendees must be four voting delegates; 2) each national or general
Checks that are returned due to insufficient funds received on or before 5 p.m., Tuesday, January 18, alumni association shall be entitled to three
FEES or closure of the bank account will be subject to 2019. votes; 3) each director of alumni affairs of UNCF-
Early bird registrations will be accepted through the amount of the check, the bank fees charged by member colleges/universities shall be entitled to
Dec. 31, 2018. Registrations received after the payee bank and an additional $25 processing REGISTRATION OF DELEGATES one vote; 4) each member of the board of directors
Dec. 31, 2018, must pay general registration fee. fee. One notice and a copy of the returned check Each organization must be registered for the shall be entitled to one vote; 5) all past presidents
Registrations received after the Dec. 31, 2018 will be sent with a request for a replacement conference in order for a member of that of NAC shall have one vote; 6) the NPAC President,
deadline unaccompanied by the general payment by bank cashier’s check or money order. organization to serve as a delegate. Registered along with each of the NPAC regions, shall have
registration fee will be returned to the sender. Registrations related to the returned check will delegates must complete and sign the credential one vote; 7) each affiliate organization shall have
be cancelled if the replacement payment is not form at the registration desk in order to receive one vote; 8) the NPAC Advisor shall be entitled to
received within 15 business days from the date delegate credentials. Registered members one (1) vote.
CANCELLATION POLICY
of the notice. The original check will be returned representing an organization will not be allowed to
Often unavoidable situations arise which require
after the replacement payment is received and vote at the conference if the organization has not
cancellation of registration. Cancellations are INCLEMENT WEATHER POLICY
processed. paid its annual membership dues.
due in writing by Jan. 13, 2019, in order to be No refunds will be issued to participants who are
eligible for a refund. The conference will process CREDIT CARD PAYMENT CREDENTIALS FOR DELEGATES
unable to attend the conference due to inclement
a refund minus a cancellation fee of $50 if Payments made by credit cards will be processed Registered delegates and qualified officers weather unless the entire conference is cancelled.
received by the Jan. 18, 2019, deadline. NO by UNCF. Refunds for credit card payments will must complete a voting credential form to be (In the event the entire conference is cancelled,
REFUNDS WILL BE PROCESSED AFTER JAN. be processed as a credit reversal to the credit card counted as an eligible voter at the conference. UNCF shall issue a credit to the next year’s
18, 2019. number charged. Checks will not be issued for Alternate delegates will not be accepted from the conference.)
credit card payment refunds. conference floor. Delegates must be cleared at the
credentials table prior to roll call for each day of
the conference.

CONNECT • INSPIRE • LEAD


UNCF.org/NAC.CONF2019

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