NCACAA

Joint Meeting:
2002 NCACAA State Meeting
and
Futures Summit

North Carolina Association of County Agricultural Agents
Holiday Inn Gateway, Rocky Mount, NC
June 25-27, 2002

Registration Form

Please fill in the following information:
Name (Last, First)
Title
County/Dept
Mailing
Address
City
State
Zip Code
E-Mail
Address
Phone
Fax
Spouse's Name
(if attending)
Guests' Names and/or
Children's Names/Ages

Anyone attending only the Summit (including Specialists and Department Heads) will pay no registration fee. If an individual attending only the summit wishes to also attend the Awards Banquet, there is a $40 fee ($60 late fee).

  Quantity Received
by May 17		 Received
after May 17
NCACAA Members Registration $40 $60
Life Member Registration $40 $60
Specialists
non-NCACAA members
Guests		 NCACAA Banquet Tickets $40 $60
All Spouse $25 $35
Children $15 $20

Meals - By ticket only

All meals from Tuesday lunch through Thursday lunch are included with registration for everyone. For planning purposes, indicate the number in your party attending each meal.

* Banquet tickets for non-NCACAA members must be purchased above.

Tuesday
Lunch
Dinner
Wednesday
Breakfast
Summit Lunch
Cookout
Thursday
Breakfast
Summit Lunch
Kids Meal and activities(during Awards Banquet)
NCACAA Awards Banquet *

Meeting & Activities

Lunches and transportation are provided on all tours.

Meeting & Activities Time & Date No. of Participants
Futures Summit Tues. June 25 - Thurs. June 27
Life Members
Life Members Tour Wed. June 26
Spouses and Youth
Capital Museum Adventure Wed. June 26, 8:30 a.m. - 4:00 p.m.
Tobacco Farm Life Museum and Trains Tour Thurs. June 27, 9:15 a.m. - 2:00 p.m.

Please add any additional information here, such as the need for special food menus or handicap assistance etc:

Payment Info

After submitting this form, print a hard copy of the "registration submitted" page, along with a check made payable to NCDACAA, to:

Eric Spaulding, Treasurer, NCDACAA
806 North Street
Smithfield, North Carolina 27577

Refunds will be made for cancellations on or before May 17, 2002. Refunds are not available after that date.

Questions?

Call Royce Hardin at 919-245-2050, or email Royce_Hardin@ncsu.edu
Or Eric Spaulding at 919-989-5380, or email Eric_Spaulding@ncsu.edu