Online Conference Registration

Click here to Download the Registration form for those paying by check or money order.

Online Registration Form

Title *

First Name *

Last Name *

Member #

Member Type *

Agency *

Title *

Mailing Address *

Address Line 2

City *

State *

Postal / Zip Code *

Cell Phone *

E-mail *

Spouse / Guest Name

Emergency Contact Name (Full Name) *

Emergency Contact Number *

Are you a first-time attendee?
Yes No

Are you Life Member?
Yes No

Training Certificate

I will require a training certificate for my employer. I will NOT require a training certificate for my employer.

DIETARY MEAL REQUIREMENT (If yes, please check one)
VEGAN VEGETARIAN

Members must be financial to register at the member rate.
Senior members must be 60 years of age to qualify for the senior rate.
Individuals registering as Spouse/Guest must be registered with a fully registered attendee

ON-LINE REGISTRATION WILL BE ASSESSED A 4% PROCESSING FEE

* Marked are Required Field.

NABCJ must receive a “written cancellation notice” no later than June 28, 2026, for us to issue a refund for the conference registration. No conference registration will be refunded after that date. Refunds will be issued 4-6 weeks after the conference. All cancellations will be assessed a $100.00 processing fee (including credit card and debit transactions). Confirmed registrants “no shows” are liable for the entire registration fee. Substitutions, including those made on-site, are allowed with the written permission of the original registrant.

If you have any questions or require assistance for a disability, please contact: NABCJ, NC Central University, P.O. Box 20011-C, Durham, NC 27707, telephone :( 919) 683-1801; Fax: (919) 683-1903, or call us toll free at, (866) U4NABCJ (866) 846-2225. Email: office@nabcj.org

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