ePay Form: BCNAA

Benedict College National Alumni Association

36th Annual Spring Planning Meeting

March 31 - April 3, 2016
Greenville, SC

REGISTRATION

Full Registration (After March 1, 2016)

Quantity @ $250

TOTAL

Meeting Package Only

Quantity @ $50

TOTAL

EVENTS

# TICKETS

THU: Meet and Greet Reception

Quantity @ $40

TOTAL

FRI: Breakfast Buffet

Quantity @ $35

TOTAL

FRI: Alumni Luncheon

Quantity @ $60

TOTAL

FRI: Alumni Dinner Dance

Quantity @ $65

TOTAL

SAT: Breakfast Buffet

Quantity @ $35

TOTAL

Other: Hospitality

Quantity @ $30

TOTAL

MEMBERSHIP

   
BCNAA Membership Annual Quantity @ $25 TOTAL
BCNAA Life Member-New Grad Quantity @ $350 TOTAL
BCNAA Life Member Quantity @ $500 TOTAL

Grand Total:
(Enter below as Payment Amount)

Sorry no refunds


PLEASE COUNT ME IN?Fees To Be Determined:

Harrah's Cherokee Casino? Yes No


(No dollar sign)
Alumni Class Year (YYYY):
Secure Payment Form

 
Summary:
Date: 08/28/16
Type of Payment:

Payment Amount (from above Grand Total): (No dollar sign)
Credit Card Information:
Card Type:

Name as on Card:
Card Billing Street Address:
Card Billing Zipcode:
Card Number:
Card Expiration Date: MMYY
Card ID (CVV2/CID) Number:
 
[What is the Card ID?]
   
Mailing Information (Required ... please fill in):
Company Name:
First Name:
Last Name:
Address:
Address Line 2:
City:
State:
Zip:
Country:
Phone Number:
Email Address: