106 Main Street, Brookneal, Virginia 24528
Email:
info@ncmotorcoach.org
Call:
336-495-4970
Call:
336-495-4970
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Regional Meeting Registration Form (Pay Online)
Please select membership type:
*
Select
Associate
Operator
Guest
Are you a member of NCMA?
*
Select
Yes
No
Are you a member of VMA?
*
Select
Yes
No
Are you a member of MCASC?
*
Select
Yes
No
Company Name
*
Street Address
*
Apartment, suite, etc
City
State/Province
ZIP / Postal Code
Phone
*
Email Address
*
Operator Market Place Information
Note: Please refer to the association website for a complete list of associate members to choose from for appointment preferences.
OPERATORS ONLY: Will you be seated at a table in market place?
Select
Yes
No
Which of the following are you interested in?
Select
Traditional Market Place Table
Shared Round Table
(Optional) List your top 3 preferred associates to meet with during market place
Associate Market Place Information
Note: Please refer to the association website for a complete list of operator members to choose from for appointment preferences.
ASSOCIATES ONLY: Are you interested in purchasing a display booth? (Additional information will be sent)
Select
Yes
No
(Optional) List your top 3 preferred operators to meet with during market place
If you would like to partner with another associate for your scheduled appointments, list their name and company.
Attendee Information
First Name (as it should appear on badge)
*
Last Name (As it should appear on badge)
*
Dietary Needs:
*
Select
None
Vegan
Gluten Free
Other
If "other" please specify
Please select a tour option or golf
*
Select
Tour 1: Culture of the Indian
Tour 2: Smoky Mountain Disc Golf
Tour 3: Waterfall Hike
Tour 4: Franklin, NC Antiques to Gem Stones
Golf: Sequoyah National Golf Club ($105)
I do not wish to participate.
Are you a first time attendee?
*
Select
Yes
No
Event Sign-Up
Tuesday Industry Update (5:30 - 6:30)
*
Select
Yes
No
Tuesday Early Bird Dinner (7:30)
*
Select
Yes
No
Tuesday Hospitality (9:00 - 11:00)
*
Select
Yes
No
Wednesday Breakfast (7:00 - 9:00)
*
Select
Yes
No
Wednesday Coach Sales Presentation/Visitation (8:00 - 10:30)
*
Select
Yes
No
Wednesday Morning Associate Session (9:15 - 11:15)
*
Select
Yes
No
Wednesday Morning Operator Session (11:30 - 12:30)
*
Select
Yes
No
Wednesday New Member/First Timer Orientation (11:30 - 12:30)
*
Select
Yes
No
Wednesday Lunch (12:45 - 1:45)
*
Select
Yes
No
Wednesday Afternoon Operator Sessions (2:00 - 4:15)
*
Select
Yes
No
Wednesday Afternoon Associate Sessions (2:00 - 4:15)
*
Select
Yes
No
Wednesday Active Shooter Training (4:30 - 5:30)
*
Select
Yes
No
Wednesday Ice Breaker Dinner (7:00)
*
Select
Yes
No
Wednesday Hospitality (10:00 - 12:00)
*
Select
Yes
No
Thursday Breakfast (7:15 - 8:30)
*
Select
Yes
No
Thursday Reception (6:30)
*
Select
Yes
No
Thursday Awards Dinner (7:30)
*
Select
Yes
No
Thursday Hospitality (9:30 - 11:00)
*
Select
Yes
No
Friday Breakfast (7:30 - 8:30)
*
Select
Yes
No
Friday Lunch: Market Place Awards Presentation (12:30 - 1:30)
*
Select
Yes
No
Payment
Please select membership type for payment:
*
Select
Associate (Member of 1 Association) $925
Associate (Member of 2 Associations) $875
Associate (Member of 3 Associations) $825
Operator (First or Second Registered for Company) $175
Operator (Third or More Registered for Company) $150
Guest $150
Amount Due:
Credit / Debit Card
*
Register & Pay Now!
