2026 MBC-LEO Mid-Winter Registration Form

MISSISSIPPI BLACK CAUCUS OF LOCAL ELECTED OFFICIALS

2026 Mid-Winter Conference Registration Form January 11-12, 2026

The Westin Jackson, 406 South Congress Street, Jackson, MS

(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)
Luncheon 30
Registration fee of 22500 plus spouseguest amount of
is enclosed with registration.

MUST BE POSTMARKED BY December 15, 2025 OR

I will pay $300.00 on-site registration plus any additional spouse/guest amount.

Please return the completed registration form along with payment to:

P. O. Box 820062, Vicksburg, MS, 39182 If questions, call 601-529-2087

Hotel Accommodations for Sunder and Monday are at The Westin under MBC-LEO ROOM BLOCK. 601-968-8200.

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