NCSBA Conference Registration Additions This form is only for adding to existing registrations. If you have not yet registered, please use the link on the conference webpage. "*" indicates required fields Status* NCSBA Member Non-NCSBA Member If you are now or have ever been a member of the NCSBA you select “NCSBA member”. Your member number will be required. Your membership number can be found on your membership card. You may also request your member number using your email address.NCSBA Membership #*Your membership number can be found on your membership card. You may also request your member number using your email address.Name* First Last Address* Street Address City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code*Phone*Email* Enter Email Confirm Email Your receipt will be emailed to this address.Upgrades and Additions Upgrade To Family Registration Lunch Ticket(s) Upgrade to Family Registration Price: Family Member AttendeesFor FAMILY registration, list family members who will attend:Spouse/Partner: First Last Enter your spouse/partner’s name only if they will be attending.Spouse/Partner NCSBA Membership #Enter your spouse’s NCSBA membership number only if they are a NCSBA member and will be attending. Their membership number can be found on their membership card. They may also request their member number using their email address.Child AttendeesFirst NameLast Name Add RemoveEnter your child guest(s) name. Click the + icon to the right of the last name field to add additional children. Note: Family Registrations include two adults and their children under 18 yrs.Saturday LunchWe will be offering a buffet lunch on Saturday provided by The Smoke Pit of Concord, NC. Advance meal tickets are required as we are required to preorder with the caterer. A limited number of tickets may be available at the onsite registration desk. When the number of ordered meals is gone, there are no more so make your arrangements early. Please note that the Saturday lunch will be buffet style and we are unable to we are unable to accommodate special dietary requests.Saturday Lunch Meal Ticket(s) – BBQ Quantity Price: $16.00 Quantity Saturday Lunch Meal Ticket(s) – Vegetarian Quantity Price: $16.00 Quantity This field is hidden when viewing the formRegistration Totalfor stripe reportingThis field is hidden when viewing the formBanquet Totalfor stripe reportingTotal Add any brief comments you wish to send to registrar:Credit Card*Card Details Cardholder Name EmailThis field is for validation purposes and should be left unchanged.