ABCC 2024 Conference Registration

Full Name*

PrefixFirst NameLast Name

E-mail*

example@example.com

Phone Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Pronouns

Institution*

Center/Department Name

Registrant Type

ProfessionalStudent (Undergraduate/Graduate)

Is this your first ABCC Conference?*

YesNo

How many conferences have you attended?

T-Shirt Size*

Please list any food allergies/preferences.

Do you require accessibility accommodations?

YesNo

What accommodations do you require?

Optional question: Would you be interested in receiving a survey later asking you more about the type of Black Culture Center, Multicultural Center, or Student Resource Center on your campus?

YesNo

Payments are processed through Square. You may pay using any major credit card / debit card. If you would prefer to pay via check please email ABCC.conferencecoord@gmail.com.

If you are registering multiple people, please include their names/registration type (e.g. professional staff or student)

My Products

Conference Full-Access w/ Dinner (member)Membership status will be verified. Includes all activities including closing banquet.

$400.00 Number of Professional Staff/Faculty
Item subtotal:$0.00

Conference Full-Access w/ Dinner (non-member)Includes all activities including closing banquet.

$450.00 Number of Professional Staff/Faculty
Item subtotal:$0.00

Conference Full-Access w/ Dinner (Student) Must be full-time student. Includes all activities including closing banquet.

$250.00 Number of Students
Item subtotal:$0.00

Pre-Conference-International African American Museum

$50.00 Quantity

Institutional Membership Allows for the institution to register multiple people at the member rate. Benefits: Eligibility for awards/ Quarterly Webinars/Member Sticker/Discounted Conference Rates

$350.00

Individual MembershipAllows for one person to access the member rate.

$50.00

Formal Banquet Individual ticket

$65.00 Number of Tickets

Additional Tickets to International African American Musuem

$22.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

2024 Association for Black Culture Centers Conference Registration