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Fffffffffffffffffffff NATIONAL ACTIVE AND RETIRED FEDERAL EMPLOYEES ASSOCIATION Vfffffff VIRGINIA FEDERATION OF NARFE (VFN) CONFERENCE
Doubletree by Hilton Hotel Charlottesville 990 Hilton Heights Road, Charlottesville, VA 22901
REGISTRATION / BANQUET INFORMATION (Please Read carefully)
Registration Forms must be mailed with the appropriate fee to: 2019 VFN Conference Registration Chair, Paula Dansker, 255 Golds Hill Road, Winchester, VA 22603.
Only registrants whose registrations are postmarked by March 15, 2019 will be guaranteed inclusion in the Program Book. Make check payable to “NARFE/VFN”. On memo line write, “2019 VFN Conference Registration”. Conference registration fee is not refundable. Individuals registering with, “couple rate” must complete 2 registrations & check “couple” on each registration form. Banquet reservations received after March 28, 2019 may not be accepted. Banquet fee is refundable if a request is postmarked and mailed to:
2019 Conference Registration Chair, Paula Dansker or emailed to her: [email protected] by March 28, 2019. If you are a chapter member, please designate, otherwise leave chapter information blank, and check the National-only box.
2019 VFN CONFERENCE REGISTRATION April 7 thru April 10, 2019
REGISTRATION INFORMATION
Status: (Check Only 1) National Member HQ Member Guest Registration Options: (Check Only One)
Early Bird Conference Registration between Late fee after March 15 Reg & Banquet postmarked February 1 and March 15, 2019
by February 1, 2019 $60 Single Conference & Conference Banquet Conference & Conference Banquet
$110 Couple Banquet only only Banquet only only $65 $35 $45 $75 $40 $50
Committee Meeting(s) (check only 1)
Alzheimer’s Membership Public Relations Nat’l Legislation State Legislation Service
Workshop Preference: (check only 1)
Social Media: Estate Planning: Financial Planning: Other: ___________________ (please specify) -
-Other Information: Current Federal Employee Retired Federal Employee Spousal Annuitant First-Time Attendee
How would you like your name printed on name badge: ____
For planning purposes, will you attend the Monday Night Reception? Yes No
Banquet - Select one: Entree’: Salmon Pork Loin Vegetarian |_|
Special Diet Request or Limitation: _____ ____ Do you have Special Needs that necessitate early banquet seating? Yes No Form VFNC19-1 (Rev. 1/10/2019)
VFN MEMBER INFORMATION Each attendee must complete a separate Registration Form (Please Print or Type)
VFN MEMBER COUPLE NATIONAL ONLY MEMBER __________________________________ _____________________________ ___________________________ Member Name (Last, First) Phone # w/Area Code NARFE ID
Full Address ______________________________________________________ E-Mail Address: _______________________________
Chapter # _________ Chapter Name ___________________________ Accommodation needed (example – sign language) _____________________ __________________________ _________________________ ___________________________________ Emergency Contact Name Emergency Phone # w/Area Code Name of Spouse or Significant Other_
