“In the Tradition…” 344th Annual National Black Storytelling Festival and Conference
“The Way We Tell It IS The Way It Is”
NOVEMBER 2 – 6, 2016
REGISTER ON-LINE OR COMPLETE AND SEND REGISTRATION FORM
One form per registrant * Copies may be made * Please print clearly in all CAPITAL LETTERS.
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Name
______Address
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City State Zip Code
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Day Phone Evening Phone Cell Phone
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E-mail Address NABS Affiliate Membership
*REGISTRATION FEES (Includes meals)
Advance (Postmarked on or before 9/21 *Onsite & Postmarked After 9/21
Member Non-Member Member Non-Member
[ ] $275 Adult* [ ] $325 Adult [ ] $325 Adult* [ ] $375 Adult
[ ] $250 Elder* [ ] $300 Elder [ ] $275 Elder* [ ] $325 Elder
[ ] $125 Youth* [ ] $150 Youth [ ] $125 Youth* [ ] $150 Youth
LUNCH EON CHOICES: Grilled Chicken Wrap [ ] Flank Steak Wrap [ ] Grilled Vegetables Wrap [ ]
* No checks accepted onsite.
* Dues for 2016 must be current to receive this rate.
* A $5 fee will be charged for on-line registrations. Total______
OTHER FEES
One-Day Registrations: Circle Day *Extra Meal Tickets:
Adult/Elder (Full registration includes meal functions.)
Member Non-Member
[ ] Thu, Fri, or $150 $175 _____ @ $50.00 Circles of Elders Luncheon and Concert
Sat Choose One: [ ] Chicken [ ] Steak [ ] Vegetarian
_____ @ $60 Sunday Spiritual Breakfast/Concert/Unity Circle
Youth
Thu, Fri, or $50 $50
Sat Total ______
NOTE: Tickets for individual Evening Concerts and events can be purchased at the door.
PHILADELPHIA BLACK HERITAGE TOUR-Wednesday, November 2, 2016 12:45-PM-5 PM
(NOTE: Reservation is non-transferrable)
#______@ $55 Total______
FESTIVAL T-SHIRTS
Small______@ $20 Medium______@ $20 Large______@ $20
X-Large _____@ $20 2X ______@ $25 3X ______@ $25
Total______
SOUVENIR JOURNAL
(Deadline for submission is September 30, 2016)
*Ads:
____$400 B/W Back Cover ____ $500 Color Back Cover ____$300 B/W Inside Back Cover
____ $400 Color Inside Back Cover ____ $300 B/W Inside Front Cover ____ $400 Color Inside Front Cover ____ $200 B/W Full Page ____ $300 Color Full Page ____ $500 B/W Center Pages
____ $700 Color Center Pages ____ $125 B/W Half Page ____ $200 Color Half Page
____$75 Quarter Page ____ $50 Business Card
* Must be camera- and print-ready
Patrons: ____ $40 Mother Mary Carter Smith ____ $25 Mama Linda Goss
____ $15 Linda Jenkins Brown ____ $10 Brother Blue
Total______
MEMBERSHIP DUES (2017) [ ] $1,000 Gold Life Member Dues [ ] $500 Silver Life Member
[ ] $100 Contributing [ ] $60 Regular [ ] $30 Elder [ ] $15 Youth
Total ______
CONTRIBUTION
[ ] $25 [ ] $50 [ ] $100 [ ] Other $______Total ______
PAYMENT TOTAL DUE ______
[ ] Check [ ] Money Order [ ] Discover
[ ] American Express [ ] Master Charge [ ] Visa
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Card# Expiration Date Security Code
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Cardholder’s Name (Please print clearly in all capital letters.)
Cardholder’s Signature ______
Complete Registration Form and MAIL with Payment before October 7, 2016 to:
NABS
Festival Registration
P. O. Box 67722
Baltimore, MD 21215
Please note: After October 7, 2016 you must register on site.