PRE-REGISTRATION FORM
Convention Fees: Due by June 16, 2006

Name______________________________
Phone______________________________
Address____________________________
City_______________________________
State______________Zip Code_________
Fax________________________________
E-Mail_____________________________

REGISTRATION

  • *Includes:
    • Full PackageWorkshops & Plenary sessions
    • Lunches (2 days)
    • Cultural program & Banquet
  • **Includes:
    • Workshops & Plenary sessions only
    • Lunch extra
  • ***Includes
    • Workshops & Plenary session
    • Lunch (2 days)
Please Note:
A $25 fee will be charged for any & all returned checks.

*Check Paid Item
Member (per Person)* $125.00
General (per Person)* $  75.00
Student Registration per Person (ages 1321)* $  75.00
Banquet Saturday $35.00
Concert Friday $15.00
Vendor** $150.00
Due by June 16, 2006 ($25 additional afterwards).
Limited space available:
includes Friday & Saturday (one table & two chairs)
Total Amount Submitted $ _______
    **Vendors:
    CASHIERS CHECKS
    or MONEY ORDERS ONLY!

Forward this form by June 16, 2006
along with your Check or Money Order
payable to:
    NBUF Educational Fund
    12817 Ashland Avenue
    Calumet Park, Illinois 60827

*After the June 15th deadline, pay an additional $25.00.
HOTEL:Mount Vernon
24 West Franklyn St.
Baltimore, Maryland 21201
(410 727-2000 or (800) 245-5256
  • Single & Double: $99.00* per night
    (includes daily contenental breakfast)
    *Add 12.5% tax (total) per room, per night
  • Hotel reservation deadline is Tuesday, June 13, 2006
    Spaces are limited. Please make your reserverions early
    and mention that you are with the NBUF Convention.
  • Transportation is NOT available between hotel site & airport.

For additional convention information call:
(708) 389-9929

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