MISSISSIPPI BLACK CAUCUS OF LOCAL ELECTED OFFICIALS

MISSISSIPPI BLACK CAUCUS OF LOCAL ELECTED OFFICIALS
2025 Summer Conference Registration Form July 20-21, 2025 Biloxi Visitors Center, 1050 Beach Blvd., Biloxi, MS
REGISTRATION
(PLEASE TYPE OR PRINT CLEARLY)
Name
Title
Email
example@example.com
Municipality or Company
Address
City
State
Zip
Phone
Fax
Spouse/Guest (Please check the appropriate box for spouse/guest only)
WILL ATTEND
Luncheon $30
Registration fee of $225.00 plus spouse/guest amount of $___ is enclosed with registration.

MUST BE POSTMARKED BY June 15, 2025 OR

I will pay $250.00 on-site registration plus any additional spouse/guest amount. NO REFUNDS AFTER July 1, 2025 Please return the completed registration form along with payment to:
MBC-LEO
P. O. Box 820062, Vicksburg, MS, 39182 If questions, call 601-529-2087

MBC-LEO Now Accepts Online Registration!
NEW
VISIT OUR NEW WEBSITE
NEW
www.msblackcaucusoflocalelectedofficials.org
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Conference Registration
$225.00 Quantity

Luncheon only
$30.00 Quantity

Total

$0.00
Should be Empty: