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ECVAC
Conference Registration Form (C)

* Registering for ECVAC Only

JANUARY 13, 2010
12:00PM - 5:00PM

Hilton Alexandria Mark Center Hotel
(Send registration checks to NCMAF, not to the hotel)
5000 Seminary Road, Alexandria, Virginia 22311
Make your hotel reservation: (703) 845-1010 (give the code: NCM)

Registration Information
(Mail your registration check ASAP, or to be received NLT December 7, 2009)
Complete this form, make a copy for your records, then submit on-line.
Mail your check for $70, made payable to: ECVAC, 7724 Silver Sage Court, Springfield, VA 22153

Name Title

Denomination

Address

City State Zip

Phone

E:Mail

Organization Website

Number of VA Chaplains your organization endorses:

Is this your first ECVAC Conference?

Do you know if you will be resigning as endorser before next year's conference?
(We want to recognize your service)

A SPECIAL INVITATION

YES, I will attend the ECVAC New Endorser Orientation on January 12, 2010, 4:45PM - 5:45PM


Registration Fees and Room Reservations

Conference Registration Fee: $70.00
(includes meals, break refreshments and conference expenses)

Room rates are additional: Single room rate $119.00plus tax, Double room rate - $129.00 plus tax

To receive this special room rate, registrations must be made by Friday, December 7, 2009. Reservations made after this date are subject to availability and will be the current room rate at that time. You are responsible for making your own reservations. Make them now by calling the Hilton Alexandria Mark Center at 1-800-HILTONS or call direct (703) 845-1010. Mention that you are with NCMAF and give the reservation agent the code: NCM. CHECK IN TIME IS 3 PM AND CHECK OUT IS 12:00 NOON.

Parking/Transportation: Parking will be complimentary for all attendees of the conference. Tell the person at the gate you are with NCMAF. Courtesy shuttle transportation is provided by the Hilton Alexandria Mark Center to and from Reagan National Airport and Pentagon City.

Make registration checks for $70 payable to ECVAC.

MAKE A COPY FOR YOUR RECORDS, THEN SUBMIT ON-LINE AND SEND YOUR CHECK MADE PAYABLE TO NCMAF
7724 Silver Sage Court, Springfield, VA  22153

Jack  (703) 608-2100  jack@ncmaf.org

IMPORTANT:  Please use your browser's PRINT function to make necessary copies of
this form for accounting, and/or filing - do this before clicking on SUBMIT.


    

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