2016 NACD Annual Meeting Registration Form
Arizona Biltmore, A Waldorf Astoria Resort
Phoenix, AZ
November 14-17, 2016
The Annual Meeting is open to NACD members & Affiliates only. One company registrant and/or family per form. Please
use a separate form for each additional company representative.
Attendee Information:
Last Name ______________________________________First Name _____________________________Nickname for Badge ____________________________
Title _____________________________________________ Company Name __________________________________________________________
Address____________________________________________________________________________________________________________________________
City_________________________________________________ State ____________________Zip___________________________________________________
Telephone _______________________________
First-time attendee?
Yes  No 
Email: ____________________________________________________
Is Spouse/Guest a first-time attendee?
Spouse/Guest (if attending) ________________________________
Child(ren) Name (if attending) _______________________________
Yes  No 
Spouse/Guest Nickname for Badge: _______________________________
Child(ren) Nickname(s) for Badge(s): ________________________________
Will you or your spouse/guest/child require any special assistance or meals?  Yes  No
If yes, please explain:
__________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
Category
Registration Fee
NACD Distributor Member/Affiliate
$699
International Distributor
$1,685
After 10/14 $1,885
Spouse/Companion
Guests 7-18 Years Old
Guest 0-6 Years Old
SUBTOTAL
<over>
$1,685
After 10/14 $1,885
Emerging Leader Member
Trade Press Representative
Count
Complimentary
Complimentary
$ 585
$ 285
Complimentary
Complimentary
Optional Events
To participate in these activities, you must register for the Annual Meeting.
Price
Tuesday, November 15
Spouse Networking Breakfast and Walking Historical Tour of Biltmore Resort
9:30 a.m. – 11:30 a.m.
Name of attendee(s) : ___________________________________________________________
Golf Tournament (Shotgun Format/box lunches)
11:30 a.m.- 5:00 p.m., Complete the Pairs/Foursomes Form on Page 3
NACD will automatically assign you to a foursome. Spouse/companions will be paired with the primary
attendee registrant unless otherwise indicated. If you have a preferred partner or foursome, please complete
the separate Request Form for Pairs/Foursomes on page. 3. Pairs/Foursome requests are not confirmed until
full payment of golf fees for all parties is received.
Attendee: Handicap/Avg. Score _____
Club Rental Y/N ____
Spouse/Companion: Handicap/Avg. Score ____ Club Rental Y/N ____
Count
Included with
Registration
$179/pp
# of golfers____
# of rentals ____
M/F___ R/L Handed ____
M/F____ R/L Handed ____
*Club rentals are an additional fee of $70 NACD cannot guarantee club type preference or availability. NACD
will reserve your rental clubs for you. You will pay NACD for the clubs.
$70/per set of clubs
Horse Back Riding
1:00 p.m.– 5:00 p.m.
Name of attendee(s) : _______________________________________________
$ 169/pp
# Attending
1__2__
Old Town Scottsdale Walking Food Tour
1:00 p.m. – 5:00 pm
Name of attendee(s) : _______________________________________________
$ 189/pp
# Attending
1__2__
Wednesday, November 16
Price
Count
Desert Jeep Tour
1:00 p.m. – 5:00 p.m.
Name of attendee(s) : _______________________________________________
$ 169/pp
# Attending
1__2__
Desert Hiking Tour
1:00 p.m. – 5:00 p.m.
Name of attendee(s) : _______________________________________________
$ 155/pp
# Attending
1__2__
Workshop: TBD, Marcus Johnson, Deloitte Consulting, LLC
1:30 p.m. – 4:00 p.m.
Name of attendee(s) : _______________________________________________
$ 60/pp
# Attending
1__2__
Included in
registration
# Attending:
1__
2__
Not Attending
___
Thursday, November 17
Price
Count
Closing Reception and Dinner
6:30 p.m. – 10:30 p.m.
Included in
registration
# Attending:
1__
2__
Not Attending
___
Regional Receptions
6:00 p.m. - 7:30 p.m.
Which reception will you attend? Western __ Northeast __ Southern __ Central __
2016 Annual Meeting Charity:
St. Jude’s Children’s Research Hospital
Donation Amount:  $25
PAYMENT TOTAL
 $50  $100 Other:
$__________
PAYMENT INFORMATION – Early Bird Registration Deadline: October 14, 2016
� Check Enclosed – Made payable to “NACD”
Credit Card # ______________________________________________________ Exp. Date: _________________ Card Security Code: ______
Name on Card: ________________________________________ Signature: ______________________________________________________
CANCELLATION POLICY
All cancellations must be made in writing via e-mail or fax. Any cancellations received 30 days prior to first day of event (October 14, 2016) will be
refunded minus an administrative charge of 25% of the gross registration and activities fees. Any cancellations after this date will not be eligible for
refunds. Substitutions can be made at any time.
Mail Form & Payment to: NACD, 1560 Wilson Blvd., Suite 1100, Arlington, VA 22209, Fax to (703) 527-7747, OR email to meetings@nacd.com. Questions?
Call (703) 527-6223 x3042.
Request Form for Pairs/Foursomes
2016 NACD Annual Golf Tournament – November 15, 2016
TEAM LEADER (Player #1): First & Last Name of Person Organizing AND Playing in Pair/Foursome
Company Name
Email & Phone Number (with area code)
Directions:
1. Register and pay for yourself for the Annual Meeting and Golf Tournament on the Annual Meeting Registration Form.
2. Then, complete this Request Form for Pairs/Foursomes. Submit ONE form per pair/foursome. Requests are NOT
confirmed until full payment of golf fees for all parties is received.
3. Confirm the availability of each of your selected players to participate in your pair/foursome; collect the contact
information requested below, and inform them that you are submitting this form to NACD. NOTE: Each player below
must register and pay separately for the Annual Meeting and Golf Tournament. This is important in order to collect
tournament fees, club rental, handicap, and transportation information from each individual. If the person completing
this form is paying greens fees for any player below, NACD will issue that player a refund for any greens fees they pay.
4. NACD MUST RECEIVE THIS COMPLETED FORM AND PAYMENT BY: October 14, 2016.
The following player(s) has/have been notified by me and agreed to be in my pair/foursome. I understand they must
register separately for the Annual Meeting, including golf, via on-line registration, fax, or mail-in registration. This form is
NOT considered their Annual Meeting registration. Players 1 & 2 will be carted together, as will players 3 & 4.
Player # 2
First & Last Name
E-mail & Phone Number (with area code)
I wish to pay $179 greens fees for this player.
Player # 3
First & Last Name
E-mail & Phone Number (with area code)
I wish to pay $179 greens fees for this player.
player.
Player # 4
First & Last Name
E-mail & Phone Number (with area code)
I wish to pay $179 greens fees for this player.
player.
Company Name
I DO NOT wish to pay greens fees for this player.
Company Name
I DO NOT wish to pay greens fees for this
Company Name
I DO NOT wish to pay greens fees for this
NACD will do its best to accommodate your requests on a first-come, first-served basis, but cannot guarantee all requests
will be honored. NACD assumes all players listed above have agreed to participate in your pair/foursome. Requests are
NOT confirmed until full payment of golf fees for all parties is received. We reserve the right to complete foursomes with
other pairs and/or single players registered. Final pairings will be posted by November 14, 2016, at the NACD Registration
Desk at the hotel.
Payment Information: Submit total amount of greens fees (includes shared cart and service fees) indicated above.
Check Enclosed $ _____________
Credit Card #: _________________________________________ Expiration Date:___________________________________________
Name on Card__________________________________________Signature__________________________________________________