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General Registration Form
ANNUAL JOINT NC/SC UTILITY COORDINATING COMMITTEE CONFERENCE
May 14-16, 2025
Holiday Inn Lumina in Wrightsville Beach, NC
Please register by May 1, 2025
Name
*
First
Last
Company
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone
*
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Cell Phone
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Fax
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Email
*
Registration & Additional Attendees
*
I will attend ($250)
I will attend with one other attendee ($500)
I will attend with two other attendees ($750)
I will attend with three other attendees ($1000)
$250 ea. for each attendee ($275 after 5/01/2025)
Registration & Additional Attendee Names
If above you selected that additional attendees will be joining you please list their names here.
Guest / Spouse
Yes a guest / spouse will be attending ($95)
No one else will be joining me
$95 ea. for your guest / spouse to attend ($105 after 5/01/2025) Includes Thursday Dinner
Number attending Wednesday nights reception
1
2
3
4
Number attending Thursday nights dinner
1
2
3
4
Golf Outing
$125 (1 person)
$250 (2 people)
$375 (3 people)
$500 (4 people)
(Sign-up Deadline for Golf is 5/01/2025)
Are you interested in riding the shuttle to the golf course and back?
Yes
No
Golf Attendee Names
All golf attendees please list here.
Locator Training. (NOTE: As of 4/15/2025 There are no more spots available for this class)
*
Classroom & Field Training (May 15, 2025 & May 16, 2025)
Will not attend the locator training.
Space is limited to 30 & only 3 from each company
Training guest names
If you wish to bring one guest to the training class please list their name here.
Total Amount Due
*
Calculate the amount due (Registration + Guest / Spouse + Golf = Total)
After clicking the "Submit" button below, you will be directed back to the Joint Conference website. Once there click on Payments and use PayPal to pay for your registration. Please be sure to enter the same amount you filled out in the field above. Your registration will not be completed until the amount due is paid in full by using PayPal. You do not need a PayPal account to complete payment. Simply enter your credit card information into PayPal to make your secure payment.