The Great Within the 58
NC Community Colleges
Excellence Event (Luncheon)

Luncheon Registration Form

List Full Name of Award Recipient and/or Legislator. (While this registration form should include the total number of guests you plan to bring, we ONLY need the names of the award recipients and/or legislators.)
Full Name of Each Attendee	Award Recipient?	Legislator?
Full Name	If yes, Award Title (Required)
Home Address
City
State
Zip
Full Name	If yes, Award Title (Required)
Home Address
City
State
Zip
Full Name	If yes, Award Title (Required)
Home Address
City
State
Zip
Full Name	If yes, Award Title (Required)
Home Address
City
State
Zip
Full Name	If yes, Award Title (Required)
Home Address
City
State
Zip
Please indicate how many seats will be purchased by your college for all guests attending (including award recipients, legislators, employees, and guests). Please note that each table seats eight guests.	X $40 =
The college contact referenced above will be contacted by NC State for registration payment. There is a charge of $40 for each person in attendance. Colleges may mail payment payable to NC State University at Campus Box 7401, NCSU, Raleigh, NC 27695-7401.