NATIONAL COALITION OF MOTORCYCLISTS

27th Annual

NCOM CONVENTION

May 10-13, 2012

J W Marriott

10 S. West St.

Indianapolis, IN 46204

Reservations: 800/266-9432

Room Rate: $99.00

Name Phone

Address City State Zip

Organization

FOR MORE INFORMATION REGARDING THE NCOM CONVENTION CALL 800/531-2424

PRE-REGISTRATION NOW TO RESERVE YOUR PLACE IN HISTORY

$80.00 Convention Registration( includes Silver Spoke Award Banquet)

Please circle main course preference: Chicken Beef Vegetarian

If you do not choose - a beef entree will be provided for your dinner.

$ 45.00 Registration ONLY (Banquet not included)

MAKE Checks payable to

RICHARD M LESTER

Mail to: NCOM- 7334 Topanga Canyon Blvd. Ste 200, Canoga Park, CA 91303

PRE - REGISTRATION MUST BE RECEIVED BEFORE APRIL 30, 2012

Note: your Convention packet WILL NOT be mailed to you. Upon arrival at the NCOM Convention check in at the

Pre-registration booth in the hotel lobby to pick up your wristband and convention information.

THIS WRISTBAND MUST BE WORN for admittance into all workshops and seminars. No one will be admitted without it.

You will also receive you Banquest ticket(s) if your pre- registration included the Silver Spoke Award Banquet on

Saturday evening. You will need your banquet ticket to be admitted into the Silver Spoke Awards Banquet

ALL

MOTORCYCLISTS

WELCOME

or http://resweb.passkey.com/go/motorcycle