2017NAVY NURSE CORPS ASSOCIATION ANNUAL MEETING REGISTRATION FORM

Listed below are all registration and meal costs for the 2017 NNCA Annual Meeting. Please enter how many people will be attending and total the amount. Send a check for that amount payable to NNCASC. Your cancelled check will serve as your confirmation. Returned checks will be charged a $25.00 fee. You may also register online and pay by credit card at Diego/ All registration forms and payments must be received by mail on or before 3/27/2017. After that date, reservations will be accepted on a space available basis. We suggest you make a copy of this form before mailing. Please do not staple or tape your payment to this form.

Mail to:

Cynthia Perry NNCASC Treasurer/Planning CMTE Use Only 1319 Burris Drive Check # ______Date Received ______

El Cajon, CA 92019 Nametag Completed _____

ATTN: NNCASC

CUT-OFF DATE IS3/27/2017 / Price Per / # of People / Total
Luncheon
SATURDAY29 Apr 2017: 12-2PM.Please Insert # of People and Totals in columns next to your choice of meal below:(Plated lunch includes gratuity, tax & dessert)
Baby spinach salad with sage pan seared chicken / $ 50 / $
Or Portobello and vegetable short stack / $ 50 / $
MANDATORY PER PERSON REGISTRATION FEE
(Wed-Fri attendees - includes hospitality room administrative expenses) / $ 20 / $
Total amount payable to:Navy Nurse Corps Assoc. Southern California / $

PLEASE PRINT NAME

FIRST ______LAST ______

EMAIL______FIRST NNCA Meeting? YES___ or NO___

SPOUSE/GUEST NAME (IF ATTENDING)______

GUEST NAMES______

STREET ADDRESS______

CITY, ST, ZIP______PH. NUMBER (______)______-______

DISABILITY/DIETARY RESTRICTIONS______

(All Hotel Room Reservation Requirements must be conveyed by attendee directly with hotel)

Hotel web page address for this event is:

Group Name: NAVY NURSE CORPS ASSOCIATION ANNUAL MEETING GROUP CODE: NNC
Hotel Name: / Embassy Suites by Hilton San Diego Bay Downtown
/ Reservation deadline for rate of $179 (single or double) is 27 Mar 2017. Valet parking: Day usage is $10 with no in/out privileges. Valet overnight parking is $46 with in/out privileges.
Hotel Address: 601 Pacific Highway, San Diego, CA 92101 Ph:619-239-2400

EMERGENCY CONTACT______PH. NUMBER (_____) _____-______

ARRIVAL DATE ______DEPARTURE DATE______

ARE YOU STAYING AT THE HOTEL? YES NO*ARE YOU FLYING? DRIVING?RV?

WILL YOU ATTEND THE WELCOME RECEPTION ON THURSDAY EVENING, APRIL 27TH?YES NO 

*Those not making a hotel reservation: Happy Hour is $20 & Breakfast is $16 (get your voucher from the Hotel Reservation desk).

For refunds and cancellations call Cynthia Perry 619-401-1655 or email: to cancel Annual Meetingobligations/confirmation. Please allow 4-6 weeks after the meeting dates to process your refund.

Register online and pay by credit card at Diego/