NC AFL-CIO 68th Annual Convention

NC State AFL-CIO 68th Annual Convention

For more info, call 919-833-6678 x10 or read the call letter at aflcionc.org. You can register up to 6 attendees at once using this form. If you need to register more than 6 attendees, after you submit this form, return here to submit a new one.
PLEASE READ BEFORE COMPLETING THIS FORM:
1. You will have to provide a unique mobile phone number and unique email address for each attendee. This is required for registration verification and for attendees to receive important updates before and during the convention. PLEASE VERIFY ATTENDEE MOBILE NUMBERS and EMAIL ADDRESSES BEFORE COMPLETING THIS FORM!
2. Only members of NC AFL-CIO affiliates, invited guests, and convention sponsors can attend. Contact jeremy@aflcionc.org with any questions about your eligibility before completing this form.
3. Already registered and just need the link to pay by credit card? There is no need to resubmit this form. Click here or visit bit.ly/ncafl25ccpay to pay registration fees online.
Union Local / Council / Organization*
Contact jeremy@aflcionc.org if your affiliated Union or Council is not on this list. Select 'Other' only if registering GUESTS for an Organization or Company not on this list.
Specify 'Other' Organization or Company
Name of Person Submitting this Form*

First NameLast Name
Phone Number of Person Submitting this Form*
Please enter a valid phone number.
Email of Person Submitting this Form*
example@example.com
Certification*

YES, I am authorized to register these Attendees to represent my Local Union / Council / Organization / Company.
Signature*

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How many ATTENDEES do you need to register?*
All types (Delegate, Alternate, and Guests)
Attendee 1
Name*

PrefixFirst NameMiddle NameLast NameSuffix
Goes By Name
Printed on name tags
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address Type*

HomeMailing
Email*
example@example.com
Mobile Phone*
Please enter a valid phone number.
Registration Type*

DelegateAlternateGuestGuest (Union Retiree)
Attendee 2
Name*

PrefixFirst NameMiddle NameLast NameSuffix
Goes By Name
Printed on name tags
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address Type*

HomeMailing
Email*
example@example.com
Mobile Phone*
Please enter a valid phone number.
Registration Type*

DelegateAlternateGuestGuest (Union Retiree)
Attendee 3
Name*

PrefixFirst NameMiddle NameLast NameSuffix
Goes By Name
Printed on name tags
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address Type*

HomeMailing
Email*
example@example.com
Mobile Phone*
Please enter a valid phone number.
Registration Type*

DelegateAlternateGuestGuest (Union Retiree)
Attendee 4
Name*

PrefixFirst NameMiddle NameLast NameSuffix
Goes By Name
Printed on name tags
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address Type*

HomeMailing
Email*
example@example.com
Mobile Phone*
Please enter a valid phone number.
Registration Type*

DelegateAlternateGuestGuest (Union Retiree)
Attendee 5
Name*

PrefixFirst NameMiddle NameLast NameSuffix
Goes By Name
Printed on name tags
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address Type*

HomeMailing
Email*
example@example.com
Mobile Phone*
Please enter a valid phone number.
Registration Type*

DelegateAlternateGuestGuest (Union Retiree)
Attendee 6
Name*

PrefixFirst NameMiddle NameLast NameSuffix
Goes By Name
Printed on name tags
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address Type*

HomeMailing
Email*
example@example.com
Mobile Phone*
Please enter a valid phone number.
Registration Type*

DelegateAlternateGuestGuest (Union Retiree)
How do you want to pay?

Check by MailCredit Card
Subtotal
Total Amount Due

prevnext( X )
USDDescription
Make your check payable to "NC State AFL-CIO" in the amount of ${subtotal} with "Annual Convention" on the memo line, and mail it to:

Attn: Annual Convention
NC State AFL-CIO
PO Box 10805
Raleigh, NC 27605

Click Submit to record your registrations.
Your registrations will be recorded when you click the Submit button. You will then be taken to our credit card payment processing form to pay your registration fees totalling ${subtotal}.
Should be Empty:

NC State AFL-CIO 68th Annual Convention

Attendee 1

Attendee 2

Attendee 3

Attendee 4

Attendee 5

Attendee 6