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FIi NBIA's 10th National Conference on Business Incubation <br /> iii New Orleans,Louisiana,May 22-25, 1996 <br /> •UA Conference Registration Form <br /> Registration Fees (please circle correct fee) <br /> NBIA Conference registration fees include:continental breakfast on Thursday,Friday and Saturday;lunch on Thursday and Friday;awards banquet on <br /> Friday;coffee breaks,receptions,transportation for Thursday afternoon's incubator tour;and printed conference materials. , <br /> Registration Information:(614)593-4331 Feel free to wear <br /> Please register only one person per form;duplicate this form if necessary. casual attire. <br /> NBIA Annual Conference Fees <br /> Member Nonmember Registration&NEW Registration&NEW Amount Due <br /> Registration Registration Individual Membership* Organizational Membership <br /> By April 10 $350 $410 $500 $625 <br /> After April 10 $425 $485 $575 $700 $ <br /> *For international membership add$15 to these rates. <br /> The following Pre-Conference Institute Workshops are available to conference registrants or entex 96 exhibitors only. <br /> Developers'Prep Course $155 $185 $ <br /> Developing a Strategic <br /> Marketing Plan $90 $125 $ <br /> Economic Development <br /> Fundraising Essentials $50 $60 $ <br /> (A)Subtotal $ <br /> Additional Activities <br /> "Circling the Crescent City"Bus Tour,Wed.,May 22 $20 per person $ <br /> • Downtown Incubators'Open Houses,Wed.,May 22 $10 per person $ <br /> Creole Culture and Cookin'Tour(for spouses),Thurs.,May 23 $39 per person $ <br /> Keynote Luncheon,Thurs.,May 23—GUEST tickets only! $25 per person $ <br /> Cajun Night Out Tour,Thurs.,May 23 $75 per person $ <br /> Strolling the Garden District Tour(for spouses),Fri.,May 24 $53 per person $ <br /> Awards Banquet,Fri.,May 24—GUEST tickets only! $42 per person $ <br /> Sunset Boat Trip on the Bayou Tour,Sat.,May 25 $75 per person $ <br /> NOTE:Payment in full must accompany all registration forms.Registration requests will (B)Subtotal $ <br /> not be processed until payment is received.We accept VISA and MasterCard charges. TOTAL(A)&(B) $ <br /> NOTE:We will be generating nametags and registration materials from this form. <br /> Please attach your mailing label here.If you don't have a label,write legibly or type. <br /> Please Check: <br /> Name ❑ This is my first NBIA Annual Conference <br /> Please Send: <br /> Title ❑ Membership information <br /> Indicate any disability that will require special assistance: <br /> Organization <br /> Address By Mail:Return registration form with payment in U.S.funds to: <br /> NBIA <br /> City,State/Prov.,Country,Zip/Postal Code 20 E.Circle Drive,Suite 190,Athens,OH 45701 <br /> By Fax:Fax registration form to(614)593-1996. <br /> First name for nametag Spouse's name for nametag Credit card information must be complete for faxed <br /> registrations to be processed. <br /> Phone Fax e-mail Questions?Call(614)593-4331. <br /> 0 MasterCard and VISA payments only: <br /> Account# Expiration Date <br /> Signature PRINT NAME <br />