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LOUISIANA STATE

CONFERENCE

Convention Site

NAACP Louisiana State Conference
3313 Government Street
Baton Rouge, LA 70806
levonleban@yahoo.com

Welcome to the 2022 Convention
Annual Convention Registration
Annual Payment & Fees Page
Online Convention Evaluation Form

Annual Convention Registration

Please complete the form then press submit. The form will be forwarded to the State Treasurer along with the Payment Page information and the appropriate payment amount. The State Treasurer will acknowledge your payment.

More Information

Uncomfortable with the process, call the State Treasurer at 318-376-3196 with a major credit card. You can also discuss other payment with the State Treasurer.

Registration Form for Annual Convention

*Last Name:

*Title and First Name:

*Email:

*Mobile Phone:

*Unit Type (check one):

Adult Branch College Chapter Youth Council At-Large Member (not affiliated) Guest

*Unit Name & Number (If not affiliated or guest, please state):

*Unit or President Postal Mailing Address:

*Unit Registration Fees & Payment:

$150.00 Annual Branch Assessment & Registration $40.00 Annual Youth Assessment & Registration Not Applicable

Unit Secretary - List Members Who Have "Gone Home":

*I acknowledge that entry into ticketed events require the purchase of a ticket.

YES NO

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L O U I S I A N A STATE CONFERENCE

NAACP Louisiana State Conference
3313 Government Street
Baton Rouge, LA 70806
levonleban@yahoo.com