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State of the Industry Summit

April 14-16, 2015
Rosemont, IL

Retailer registration is limited to NACS Retail members only. If you are not currently a member of NACS and would like to participate in this event, please contact Keith Harlow at (703) 518-4206 or

*Required Fields

Attendee Information

*First Name:  
Middle Name:
*Last Name:  
Nickname for Badge:
*State / Province:  
*Zip / Postal Code:  
*Phone    Ext.  

*Is this your permanent contact information? (If yes, this information will be used for all NACS mailings & events.)

      (a NACS staff member will contact you to discuss your needs)

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 16, 2015 . The survey form is available online at 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. However, your card will only be charged after the March 16, 2015 deadline if data is not received.

Schedule of Events (subject to change without notice)

4:30pm - 7:00pm      Registration Open
5:30pm - 6:30pm      Networking Reception
9:00pm - 11:00pm      NACSPAC Lounge Open

7:30am - 5:30pm      Registration Open
8:00am - 9:00am      Networking Breakfast Breakouts
9:00am - 12:00pm      General Session
12:00pm - 1:15pm      Networking Lunch
1:30pm - 2:30pm      General Session (continued)
2:45pm - 3:45pm      Concurrent Educational Sessions
4:15pm - 5:15pm      General Session (continued)
5:15pm - 6:15pm      Evenign Networking Reception
9:00pm - 12:00am      NACSPAC Lounge - After Hours

7:30am - 12:00pm      Registration Open
8:00am - 9:00am      Networking Breakfast Breakouts
9:00am - 12:00pm      General Session
12:00pm      Adjorn

Become a Friend of NACS

By agreeing to become an individual member 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. In addition, as a Friend of NACS you will receive exclusive insight into what is happening in Washington, D.C. We will provide you with quarterly reports about our efforts on behalf of your industry and on developing issues relevant to your business, and we'll let you know about opportunities to attend events where you can personally make your legislators aware of your concerns. There are no dues associated with a Friends of NACS individual membership. Your membership expires one year from the end of the current month, and you will automatically be sent a simple electronic renewal notice.
   Yes, I want to become a Friend of NACS!

Credit Card Information

*Credit Card:  
*Card Number:  
*Card Holder:  
*Expiration Date:  
*Billing Zip Code:    

For questions about the Summit, please contact Amy Ashley-Burke at or by phone at (703) 518-4239.

Should you need to cancel your registration, please do so by April 3, 2015. Cancellations must be faxed to (571) 483-8703 or emailed to

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). Moreover, the submitter specifically authorizes NACS to charge any such amounts to the credit card referenced on this form.