North Carolina Association of the Deaf, Inc.

NCAD Conference

Registration Form

1.  Fill in the boxes  2.  Print the form  3. Mail form with a check payable to NCAD Treasurer.

Registration includes President’s Breakfast, Workshops and Banquet.

Name:

Address 1:

Address 2:

City:                                                               State:   Zip Code:

 

TTY:    VideoPhone:    Fax:                           Best time to call:

E-mail:

Your Signature: ___________________________ Date:____________

Please mail this form and include either check or money order payable to NCAD:

Lawson McNally, NCAD Treasurer

110 North River Glen Drive

Morganton, NC 28655-9881

                  Many thanks for supporting NCAD.

November 21, 2009

Park Inn

909 Hwy 70 SW,

Hickory, NC 28602,

Reservations: 1-800-789-0686

Telephone: (828) 328-5101 Fax: (828) 328-8943

Contact Chairperson:

Beverly Woodel

$75.00 Member        $85.00 Non-Member

Anytime

Mornings

Afternoons

Evenings

Weekends