NCAM Registration

2019 NCAM Registration

Please fill in the form below.
Full Name *

Prefix First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number
E-mail *
example@example.com
Below are options to buy an NCAM Ticket, NCAM Ad, and/or to become an NCAM Sponsor. Selecting multiple options is accepted. *

Individual NCAM Ticket $ 40.00

Quantity

Table of 8 NCAM Tickets $ 320.00

Quantity

NCAM Booklet Business Card AD ( 2" x 3.4") $ 50.00

Quantity

NCAM Booklet Quarter Page AD ( "5 x 3.75" ) $ 80.00

Quantity

NCAM Booklet HALF PAGE AD ( 5" x 7.5") $ 150.00

Quantity

NCAM Booklet FULL PAGE AD ( 10" x 7.5" ) $ 250.00

Quantity

"Platinum Sponsorship" $5000 and up $ 1.00

Enter the Amount in $

"Gold Sponsorship" $2,000 - $4,999 $ 1.00

Enter the Amount in $

"Silver Sponsorship" $1,000 - $1,999 $ 1.00

Enter the Amount in $

"Bronze Sponsorship" $500 - $999 $ 1.00

Enter the Amount in $

"Community Champion Sponsorship" $300 - $499 $ 1.00

Enter the Amount in $

Total $ 0.00
If you are buying an ad, please have them "camera ready" in one of the following formats: .jpg, .gif, .tiff, .png, or .bmp, and submit them to Jasmine Moore at jmoore@csraeoa.org
All cancellations must be made 10 days in advance of the event in order to receive a full refund. Partial refunds will not be made.

Privacy Policy – All information received, including credit card information, will be kept strictly confidential and will be used for payment/billing purposes only. Information will not be shared with any other party.

For further information, please contact CSRA EOA, Inc. at 706-722-0493 or mharrison@csraeoa.org
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2019 NCAM Registration