NAACP:
Our Lives Matter, Our Votes Count
OBSERVERS
NA ACP
107
th
NATIONAL CONVENTION
1 0 7 th A N N U A L C O N V E N T I O N
J U LY 1 6 - 2 0 , 2 0 1 6
C I N C I N N AT I , O H
1
AT-LARGE OBSERVERS
ADVANCED REGISTRATION
Section I – CONTACT INFORMATION
(Please provide the name and contact information of party responsible for advance registration package pickup.)
Name_____________________________________________________________________________________
Last Name
First Name
MI
Unit Name__________________________________________________________
Unit#_________________
Address____________________________________________________________________________________
City/State/Zip______________________________________________________________________________
Telephone No.__________________________________ Fax No.______________________________________
P L E AS E R E T U R N T H I S PAG E
Email Address_______________________________________________________________________________
Section II – UNIT FEES (Enter Fundraising Assessments if applicable.)
Convention Assessment $___________.______
Fundraising Assessment $___________.______
Section III – PACKAGE ORDERS (When ordering packages, registration fees are included.)
Labor Luncheon Package
• Registration Fees
• Prayer Breakfast Ticket
• Labor Luncheon Ticket
• Freedom Fund/Spingarn Dinner
Membership Luncheon Package
• Registration Fees
• Prayer Breakfast Ticket
• Membership Luncheon Ticket
• Freedom Fund/Spingarn Dinner
No. of Packages _______ No. of Packages _______
Youth Dinner Package
• Registration Fees
• Roy Wilkins Luncheon
• Juanita Jackson Mitchell Freedom Fund Dinner
• Freedom Fund/ Spingarn Dinner
W.I.N. Forum & Brunch Package
• Registration Fees
• Prayer Breakfast Ticket
• W.I.N. Forum & Brunch Ticket
• Freedom Fund/Spingarn Dinner
No. of Packages _______
$275 per youth package
$350 per adult package
No. of Packages _______
Section IV – REGISTRATION (Do not include registration for packages.)
Full Advance Registration
*No. of Adult Registrations ______ x $175.00 = _______
*No. of Youth Registrations______ x $100.00 = _______
Daily Advance Registration
No. of Adult Daily Registrations_____x $40.00 = _______
No. of Youth Daily Registrations____ x $25.00 = _______
*Does not include any tickets.
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Total Registrations $_________________
Make checks and/or money orders payable to the
NAACP and forward with order form
(postmarked by May 27th) along with credentials to:
Convention Registration
NAACP Finance Department
4805 Mt. Hope Drive
Baltimore, Maryland 21215
NAACP:
Please note:
NO FORMS ACCEPTED
AFTER May 27th
Our Lives Matter, Our Votes Count
ADVANCED TICKET ORDER
Section V – TICKET ORDERS (Do not include tickets from package orders here.)
Price Before May 27th
Price Before May 27th
PRAYER BREAKFAST/MEMORIAL SERVICE
Sunday, July 17, 2016
Regular Price $20.00_________ x 20.00 = __________
NATIONAL MEMBERSHIP LUNCHEON
Tuesday, July 19, 2016
Regular Price $50.00 __________ x 47.50 = __________
W.I.N. FORUM & BRUNCH
Sunday, July 17, 2016
Regular Price $50.00 _________ x 47.50 = __________
ARMED SERVICES & VETERANS AFFAIRS LUNCHEON
Tuesday, July 19, 2016
Regular Price $50.00 __________ x 47.50 = __________
CLARA LUPER YOUTH ADVISOR’S LUNCHEON
Tuesday, July 19, 2016
Regular Price $ 25.00___________ x 25.00 = __________
P L E AS E R E T U R N T H I S PAG E
CLARENCE MITCHELL MEMORIAL LECTURE
YOUTH FREEDOM FUND AWARDS DINNER/DANCE
SERIES LUNCHEON
Tuesday, July 19, 2016
Monday, July 18, 2016
Regular Price $35.00 __________ x 33.25 = __________
Regular Price $50.00 __________ x 47.50 = __________
LABOR LUNCHEON
HEALTH LUNCHEON & FORUM
Wednesday, July 20, 2016
Monday, July 18, 2016
Regular Price $50.00 __________ x 47.50 = __________
Regular Price $50.00 __________ x 47.50 = __________
FREEDOM FUND/SPINGARN AWARDS DINNER
ROY WILKINS LUNCHEON
Wednesday, July 20, 2016
Monday, July 18, 2016
Regular Price $125.00 __________ x 125.00 = __________
Regular Price $20.00 __________ x 20.00 = __________
TOTAL TICKETS: __________ $________________
No. of tickets
Section VI – TOTALS
Total Assessments $ ________ + Packages Total $________+ Registration Total $________+ Ticket Total $________ =
Order Form Total: $ _______________________________
Section VII – PAYMENT METHOD
Check all payment methods that apply:
______ Check (check no._________ check amt. $____________)
______ Credit Card (enter information below) Circle one: MC
VISA
AMEX
DISCOVER
Card Number_____________________________________________ Expiration Date:_________________
Print Name as it appears on Card_______________________________ Charge Amt.: $__________________
Authorized Cardholder’s Signature____________________________________________________________
Additional tickets may be secured on-site. Tickets are sold on a first come, first serve basis.
1 0 7 th A N N U A L C O N V E N T I O N
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INSTRUCTIONS FOR OBSERVERS
The following instructions are to assist units and attendees with completing the Convention Registration Form. Credentials must be submitted to the
National Office for each name listed. If there are any questions, you may contact the NAACP Finance Department at 410.580.5712. This form, the
original, signed credentials and all monies owed must be mailed together. The order must be postmarked no later than May 27, 2016. All
additional orders must be placed on-site.
Section I – CONTACT INFORMATION
The contact name should be the person responsible for retrieving the Convention Packet. All information should be completed in this section. Please note:
only the person listed as the contact will be able to retrieve the packet. Portions of packets will NOT be disbursed nor
will a different individual be allowed to retrieve a packet.
Section II – UNIT FEES
Refer to the NAACP Constitution and By-Laws for Units (Articles 3, Section 4(a)(1) for details regarding submission of Fundraising Assessments. Only
Units that intend on registering delegates are required to pay Convention Assessments. Convention Assessments are determined as follow:
Units
with
MEMBERS
UNIT FEES
50 to 100
101 to 500
501 to 1,000
1,001 to 2,500
2,501 to 5,000
5,001 to 7,500
over 7,500
$50.00
$75.00
$125.00
$175.00
$200.00
$250.00
$300.00
MEMBERS
UNIT FEES
All Youth
Units
-
$25.00
All State
Conferences
(Youth & Adult)
-
$100.00
SECTION III: PACKAGE ORDERS
Only registrations that are postmarked by May 27, 2016 are eligible for discount packages. NO PACKAGES ACCEPTED AFTER May 27th. There are
four packages offered: Labor Luncheon, Membership Luncheon, W.I.N Forum & Brunch and Youth. The adult packages include the following: one adult
convention registration, one Pray Breakfast ticket, one Freedom Fund/Spingarn Dinner ticket and one ticket for the package chosen. The youth package
includes the following: one youth convention registration, one Roy Wilkins Luncheon ticket, one Youth Freedom Fund Awards Dinner ticket and one
Freedom Fund/Spingarn Dinner ticket. Be sure that events for the tickets that are purchased do no conflict. Write the total number of packages and the
total cost of the section in the space provided.
Please note: When a package is selected, unless you need additional tickets, do not indicate any tickets in Section V. Also, unless
additional registrations are needed, do not indicate any information in Section IV.
SECTION IV: REGISTRATION
In this section, please indicate the number of adult and youth registrations. The names of the attendees must be provided on the registrant listing.
ALL REGISTRANTS PURCHASING DAILY PASSES ARE OBSERVERS. Please note: Do not include registration fees for
package orders.
SECTION V: TICKET ORDERS
This section lists all the Convention’s ticketed functions. All pre-ordered tickets must be retrieved at the Convention Center in the Advanced Registration
window. NO TICKETS WILL BE MAILED. Please note: If you have requested a package (Section III), do not indicate any tickets in
this section unless there are ADDITIONAL tickets needed beyond what your package provides.
SECTION VI: TOTALS
The purpose of Section VI is to tally the grand total of monies owed for the entire order. Add the total monies from all sections and insert that amount into
the space labeled Order Form Total. This is the amount to be remitted to the NAACP FINANCE DEPARTMENT with your completed registration.
***PAYMENT METHODS***
We accept Visa, MasterCard, American Express, Discover as well as personal, business and/or Branch checks as payment. Also, the cardholder
must print and sign his/her name in the spaces provided. IF THE CARDHOLDER’S SIGNATURE IS NOT PROVIDED, PAYMENT AND
REGISTRATION WILL NOT BE PROCESSED.
***REFUND POLICY***
There will be NO refunds distributed during the Annual Convention. All refunds will be returned within 4-6 weeks following the
Convention. The only refunds allowed are:
1. Tickets returned prior to July 1, 2016
2. Overpayment by a Branch
Refunds will only be considered upon presentation of a valid original receipt. There are no refunds for
advance registration purchases.
***CANCELLATION POLICY***
Written cancellation requests received, postmarked and mailed to the NAACP National Office by June 17, 2016 will be fully refunded.
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NAACP:
Our Lives Matter, Our Votes Count
PREVIOUS NAACP CONVENTIONS BY YEAR
ROSLYN M. BROCK
Chairman, National Board of Directors
LEON W. RUSSELL
Vice Chair, National Boattee
CORNELL WILLIAM BROOKS
President and CEO
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Philadelphia, Pennsylvania
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New York, New York
Boston, Massachusetts
Washington, DC
Providence, Rhode Island
Cleveland, Ohio
Atlanta, Georgia
Detroit, Michigan
Newark, New Jersey
Kansas City, Missouri
Philadelphia, Pennsylvania
Denver, Colorado
Chicago, Illinois
Indianapolis, Indiana
Los Angeles, California
Cleveland, Ohio
Springfield, Massachusetts
Pittsburgh, Pennsylvania
Washington, DC
Chicago, Illinois
Oklahoma City, Oklahoma
St. Louis, Missouri
Baltimore, Maryland
Detroit, Michigan
Columbus, Ohio
Richard, Virginia
Philadelphia, Pennsylvania
Houston, Texas
Los Angeles, California
Detroit, Michigan
Chicago, Illinois
(War Conference)
– Cincinnati, Ohio
(Board Meeting)
1 0 7 th A N N U A L C O N V E N T I O N
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PREVIOUS NAACP CONVENTIONS BY YEAR
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Washington, DC
Kansas City, Missouri
Los Angeles, California
Boston, Massachusetts
Atlanta, Georgia
Oklahoma City, Oklahoma
St. Louis, Missouri
Dallas, Texas
Atlantic City, New Jersey
San Francisco, California
Detroit, Michigan
Cleveland, Ohio
New York, New York
St. Paul, Minnesota
Philadelphia, Pennsylvania
Atlanta, Georgia
Chicago, Illinois
Washington, DC
Denver, Colorado
Los Angeles, California
Boston, Massachusetts
Atlantic City, New Jersey
Jackson, Mississippi
Cincinnati, Ohio
Minneapolis, Minnesota
Detroit, Michigan
Indianapolis, Indiana
New Orleans, Louisiana
Washington, DC
Memphis, Tennessee
St. Louis, Missouri
Portland, Oregon
Louisville, Kentucky
Miami Beach, Miami
Denver, Colorado
Boston, Massachusetts
NAACP:
1983
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1991 1992 1993 1994 1995 1996 1997 1998 1999 2000
2001 2002 2003 2004
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2017
– New Orleans, Louisiana
– Kansas City, Missouri
– Dallas, Texas
– Baltimore, Maryland
– New York, New York
– Washington, DC
– Detroit, Michigan
– Los Angeles, California
– Houston, Texas
– Nashville, Tennessee
– Indianapolis, Indiana
– Chicago, Illinois
– Minneapolis, Minnesota
– Charlotte, North Carolina
– Pittsburgh, Pennsylvania
– Atlanta, Georgia
– New York, New York
– Baltimore, Maryland
– New Orleans, Louisiana
– Houston, Texas
– Miami, Florida
– Philadelphia, Pennsylvania
– Milwaukee, Wisconsin
– Washington, DC
– Detroit, Michigan
– Cincinnati, Ohio
– New York, New York
– Kansas City, Missouri
– Los Angeles, California
– Houston, Texas
– Orlando, Florida
– Las Vegas, Nevada
– Philadelphia, Pennsylvania
– Cincinnati, Ohio
– Baltimore, Maryland
Our Lives Matter, Our Votes Count
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107
N AACP
th
NATIONAL CONVENTION
C I N C I N N AT I , O H
NAACP:
H J U LY 1 6 - 2 0 , 2 0 1 6
Our Lives Matter, Our Votes Count
4805 Mt. Hope Drive
Baltimore, MD 21215
410-580-5780
www.naacp.org
1 0 7 th A N N U A L C O N V E N T I O N
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