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Attendee Information
*Is this your permanent contact information?
Yes
No
If yes, this information will be used for all
NACS mailings & events.
Check here if you require special assistance.
A NACS staff member will contact you to discuss your needs.
Hotel Reservations
For room reservations, contact the Intercontinental Chicago O'Hare at (800)
341-7949. Reference the group code "NACS" to obtain the group rate of $182 per
night single/double plus tax.
Reservation deadline is March 11, 2012.
Registration Fees
Registration for the NACS State of the Industry Summit is complimentary
for up to three individuals per retail member company if your company submits
data for the NACS State of the Industry Survey by March 23, 2012. The survey form is available online at
nacsonline.com/soisurvey. For retail firms seeking to register more than three attendees, additional attendees may be registered for
$299 per person (after the first three registrants).
If your company chooses not to share data, the minimum registration fee will be $999. The $999 fee will allow up to three people to
attend from your company. Additional attendees will be $299 per person. All attendees must be employees of the NACS member
company. Company consultants, bankers, and company board members are not eligible to participate.
Most prior attendees to the NACS State of the Industry Summit will not be affected by this change in registration as they are already
participants in the survey process. Please Note: CSX and Study Group subscribers need only fill out a brief demographic survey to
receive the complimentary registration. By encouraging all attendees to share data, NACS hopes to deliver better metrics.
Credit card information must be included below in order to process this form, but
your card will not be charged until after the March 23 deadline for sharing data.
*I understand the associated fees as described above, and expect to fall into this group:
First through
Third attendee - $0 ($999 for up to three people if data is not submitted)
Fourth plus attendee - $299
Event Participation
Become a Friend of NACS
By agreeing to become an individual member of NACS (a Friend of NACS), you will
have the right to vote for a designated representative on the NACS Board of
Directors and will receive a complimentary subscription to NACS Magazine and the
NACS Daily e-newsletter. There are no dues associated with a Friends of NACS
individual membership. Your membership expires on December 31 of each year and
you will automatically be sent a simple electronic renewal notice. Please check
the box below to become an individual member of NACS.
Credit Card Information
For questions about the Summit, please contact Amy Ashley-Burke at
aburke@nacsonline.com or by phone at
(703) 518-4239.
Should you need to cancel your registration, please do so by March 28th.
Cancellations must be sent in writing to
aburke@nacsonline.com
If submitting electronically, include full name in signature box. By doing so
you agree to pay up to $999 if required. The submitter of this form agrees to
accept and pay all applicable charges, including adjustments to reflect
correction of arithmetical errors as well as all per event costs, based on the
events chosen and your company's current membership status with the National
Association of Convenience Stores (NACS). Your company must be a member of NACS
at the time of the event in order to participate. Moreover, the submitter
specifically authorizes NACS to charge any such amounts to the credit card
referenced on this form.