2013North Carolina Land Trust Assembly

Making Conservation Relevant for Everyone

March 26th – Doubletree Brownstone – Raleigh, NC

March 27th- NC Legislative and State Archive Buildings - Raleigh, NC

Please Note You Can Register Online at:

Registration Form

Please use one form per person.

Name/Title: ______

Organization:______

Address: ______

City, State, Zip: ______

Phone: ______

Fax:______

Email: ______

Registration

A block of double rooms has been reserved March 25th and March 26that the Doubletree Brownstone – Raleigh (1707 Hillsborough St.,Raleigh, NC 27605). Please contact the Doubletreedirectly, 919-828-0811( to reserve your room. Please let them know you are with the NC Land Trust Assembly in order to receive the $99 per room rate (single or double).Please note that space is limited.

______Full Assembly –Tuesday, March 26th-registration is $100. Includes all seminars, workshops and conference materials for Tuesday and lobby materials for Wednesday; lunch, snack and dinnerTuesday.Early Bird registration ends at 5:00pm on February 26th.Lodging is not included.

______Land Trust Board Member Special!Full Assembly – Tuesday, March 26th- registration isFREE for one Board Member per Land Trust. Includes all seminars, workshops and conference materials for Tuesday and lobby materials for Wednesday; lunch, snack and dinner Tuesday.Lodging is not included.

Registration Deadline

March 19, 2013

Conference Information

NC State Legislative Building: 16 W. Jones Street Raleigh, NC 27601

NC State Archive Building: 109 E. Jones Street Raleigh, NC 27601

Doubletree Brownstone – Raleigh, NC: 1707 Hillsborough St., Raleigh, NC 27605

Payment Information

Please pay by credit card or check. Make checks payable to CTNC and mail to1028 Washington St, Raleigh, NC 27605.

Credit Card Payments ___ VISA ____MasterCard____ AMEX

Account #: ______Exp. Date: ______

Name: ______

Signature: ______

Cancellation Policy: Cancellations with refund may be made up to oneweek before the event. Substitutions are allowed.Questions? Please contact Rebecca Hankins at or (919) 828-4199 x17.

Mail Registration

Rebecca Hankins, CTNC, 1028 Washington Street, Raleigh, NC 27605 or

Fax: 919.828.4508