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Annual Alumni MEAC Mixer Registration

Event Information

Hosted by the NCCUAA, NCCU Eagle Club, NCCU Foundation Board and the Division of Institutional Advancement

When: Thursday, March 12, 2015
Where: Holiday Inn Virginia Beach/Norfolk Hotel and Conference Center - 5644 Greenwich Road
Price: Complimentary for NCCU Alumni Association, NCCU Eagle Club members, and NCCU Foundation Board. For all other guests, there will be a $10.00 cover charge.
Registration Deadline: March 9, 2015
Additional online info is also available.

Registrant Information

About You
First Name    Last Name    Class of
Home Phone    Work Phone
E-Mail    Is this a new or corrected email address?
Address 1
Address 2
City     State     Zip
Is the above a new or corrected postal address?
I would like my contact information omitted from the participant list.
Describe any special assistance needed (e.g., vegetarian meal, visual, audio, etc.)

Include the same appropriate considerations for your dinner guest
About Your Spouse/Guest
First Name    Last Name    NCCU Class Year 
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