Individual Registration Conference Registration 2023 InformationPlease call Greg Taylor at 601-354-7555 or 662-501-0260/ gtaylor@ngams.org with any questions. We look forward to seeing you at the 2023 NGAMS Conference May 5-7, at the Refuge Hotel & Conference Center, Flowood, MS.Have you paid your 2023 dues?* No Yes Membership TypePlease select oneAnnual MemberActive Life MemberRetired Life MemberSpouse of Deployed Service MemberEnlisted LeadershipActive Duty/Conference GuestOfficer CandidateWarrant Officer CandidateROTC CadetYou may pay your dues with either our Life Membership Form or our Annual Membership Form. Second Lieutenants and WO1's within one year of commissioning can become a Digital Life Member at a discounted rate of $375.00 Life Membership Form. If you need assistance contact Greg Taylor at (O) 601-354-7555, (C) 662-501-0260 or email gtaylor@ngams.org.RankPlease selectOfficer CandidateWarrant Officer CandidateCadet2LT2nd Lt1LT1st LtCPTCaptMAJMajLTCLt ColCH (LTC)CH (Lt Col)COLColBGBrig GenMGMaj GenWO1CW2CW3CW4CW5CPT (R)Capt (R)MAJ (R)Maj (R)LTC (R)Lt Col (R)COL (R)Col (R)BG (R)Brig Gen (R)MG (R)Maj Gen (R)Lt Gen (R)CW2 (R)CW3 (R)CW4 (R)CW5 (R)CSM (E9)CMSgt (E9)Name* First Last Preferred Name on Badge* First Last T-Shirt SizeSelect sizeSmallMediumLargeX-LargeXX-LargeXXX-LargeMailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Will you be bringing guests?* No Yes Please list your guests*First NameLast Name Preferred Name on Badge*First NameLast Name T-Shirt Size of Guest 1*Select sizeSmallMediumLargeX-LargeXX-LargeT-Shirt Size of Guest 2Select sizeSmallMediumLargeX-LargeXX-LargeEmail (civilian preferred)* Cell Phone*Spouse Email (civilian preferred)This email allows us to send information directly to spouses or significant others. Major Subordinate Command (MSC)-ARNG / Wing-ANG*Army members please use MSC. Air members please use Wing.Please selectJFH ArmyJFH Air66 TC155 ABCT184 ESC168 ENCp Shelby/Cp McCainJFH ANG172 AW186 ARWCRTCNational Guard Unit Name* Special Accommodations?Please specify any special accommodations you may require.ActivitiesPlease mark the following events that you and any colleagues want to participate.Golf - Friday Morning Flight (Begins at 8:00 am)$85 per person. The Refuge Golf Course, 2100 Refuge Blvd., Flowood, MS 39232 No Yes How many are you paying for?Golf - Morning FlightParticipant names:Please include all participant names you are paying for. Use the (+) icon to add more names.Name Do you require transportation to the event? No Yes Golf - Friday Afternoon Flight (Begins at 1:00 p.m.)$85 per person. The Refuge Golf Course, 2100 Refuge Blvd., Flowood, MS 39232 No Yes How many are you paying for?Golf - Afternoon FlightPlease enter a number greater than or equal to 1.Participant names:Please include all participant names you are paying for. Use the (+) icon to add more names.Name Do you require transportation to the event? No Yes Golf - Saturday Afternoon Flight (Begins at 1:00 p.m.)$85 per person. The Refuge Golf Course, 2100 Refuge Blvd., Flowood, MS 39232 No Yes How many are you paying for?Golf - Afternoon FlightPlease enter a number greater than or equal to 1.Participant names:Please include all participant names you are paying for. Use the (+) icon to add more names.Name Do you require transportation to the event? No Yes Golf - Sunday Morning Flight (Begins at 8:00 a.m.)$85 per person. The Refuge Golf Course, 2100 Refuge Blvd., Flowood, MS 39232 No Yes How many are you paying for?Golf - Afternoon FlightPlease enter a number greater than or equal to 1.Participant names:Please include all participant names you are paying for. Use the (+) icon to add more names.Name Do you require transportation to the event? No Yes Tennis (9:00 am - 11:00 am)$20 per person. River Hills Club, 3600 Ridgewood Rd., Jackson, MS 39211 No Yes How many are you paying for?Please enter a number greater than or equal to 1.Participant names:Please include all participant names you are paying for. Use the (+) icon to add more names.Name Do you require transportation to the event? No Yes Bowling (1:00 pm - 3:00 pm)$20 per person. Fannin Lanes, 1145 Old Fannin Rd., Brandon, MS 39047. If you have a team and you're paying separately, please list the other members of your team below in the Team Listing for Sporting Event. No Yes How many are you paying for?Please enter a number greater than or equal to 1.Participant names:Please include all participant names you are paying for. Use the (+) icon to add more names.Name Do you require transportation to the event? No Yes Skeet Shooting (1:00 pm - 3:30 pm)$75 per person. Providence Hill Farm, 2600 Carsley Rd, Jackson, MS 39209. Includes gun rental and ammunition. This event can be individual or team. If you have a team and you're paying separately, please list the other members of your team below in the Team Listing for Sporting Event. No Yes How many are you paying for?Please enter a number greater than or equal to 1.Participant names:Please include all participant names you are paying for. Use the (+) icon to add more names.Name Do you require transportation to the event? No Yes Pistol Competition (1:00 pm - 4:00 pm)$35 per person. Boondocks Firearms Training Academy, 11771 MS-18, Raymond, MS 39154. Includes gun rental and ammunition. This event can be individual or team. If you have a team and you're paying separately, please list the other members of your team below in the Team Listing for Sporting Event. No Yes How many are you paying for?Please enter a number greater than or equal to 1.Participant names:Please include all participant names you are paying for. Use the (+) icon to add more names.Name Do you require transportation to the event? No Yes 5K Run (4:00 pm - 6:00 pm)$25 per person. Run/walk starts in front of the Refuge Hotel, goes through the Refuge Resort and back to the Refuge Hotel. No Yes How many are you paying for?Please enter a number greater than or equal to 1.Participant names:Please include all participant names you are paying for. Use the (+) icon to add more names.Name Age(s) on the date of the event:Please include all participant names you are paying for. Use the (+) icon to add more names.Age 5K Run T-Shirt SizeSelect t-shirt size ONLY if participating in the fun runSelect sizeSmallMediumLargeX-LargeXX-Large5K Run T-Shirt SizeSelect t-shirt size ONLY if participating in the fun runSelect sizeSmallMediumLargeX-LargeXX-LargeTeam Listing for Sporting EventsIf you are playing golf, tennis, bowling, skeet shooting or pistol competition with a team and team members are paying separately please list the other members here.Opening Ceremony, Ribbon Cutting and Hospitality NightFree of charge No Yes How many?Please enter a number greater than or equal to 1.Participant names:Please include all participant names. Use the (+) icon to add more names.Name Dinner$30 per person No Yes How many?Please enter a number greater than or equal to 1.Participant names:Please include all participant names. Use the (+) icon to add more names.Name Spouse/Guest Event$10 per person No Yes How many?Please enter a number greater than or equal to 0.Participant names:Please include all participant names. Use the (+) icon to add more names.Name At Ease Gang BreakfastNo charge No Yes How many?Please enter a number greater than or equal to 1.Participant names:Please include all participant names. Use the (+) icon to add more names.Name Chaplain Breakfast$10 per person No Yes How many?Please enter a number greater than or equal to 1.Participant names:Please include all participant names. Use the (+) icon to add more names.Name Air National Guard Breakfast$10 per person No Yes How many?Please enter a number greater than or equal to 1.Participant names:Please include all participant names. Use the (+) icon to add more names.Name OCS Alumni Breakfast$10 per person No Yes How many?Please enter a number greater than or equal to 1.Participant names:Please include all participant names. Use the (+) icon to add more names.Name ROTC Alumni Breakfast$10 per person No Yes How many?Please enter a number greater than or equal to 1.Participant names:Please include all participant names. Use the (+) icon to add more names.Name Service Academy Alumni Breakfast$10 per person No Yes How many?Please enter a number greater than or equal to 1.Participant names:Please include all participant names. Use the (+) icon to add more names.Name Warrant Officer Breakfast$10 per person No Yes How many?Please enter a number greater than or equal to 0.Participant names:Please include all participant names. Use the (+) icon to add more names.Name Company Grade Lunch with TAGNo charge No Yes How many?Please enter a number greater than or equal to 1.Participant names:Please include all participant names. Use the (+) icon to add more names.Name Warrant Officer Lunch$10 per person No Yes How many?Please enter a number greater than or equal to 1.Participant names:Please include all participant names. Use the (+) icon to add more names.Name Field Grade Lunch$10 per person No Yes How many?Please enter a number greater than or equal to 1.Participant names:Please include all participant names. Use the (+) icon to add more names.Name Retiree/Retiree Spouse Hospitality Room$20 per person. The retirees/spouse have their own At Ease Hospitality Room for Friday evening and Saturday lunch and Saturday evening. Please come join your fellow retirees for lunch on Saturday after the business session and relax until the reception Saturday night. Bar complete with snacks will be available to you. No Yes How many?Please enter a number greater than or equal to 1.Participant names:Please include all participant names. Use the (+) icon to add more names.Name Total and PaymentActivity Fees Price: $ 0.00 Total $ 0.00 Comments Fees waived?If, for some reason, your fees are waived, please check here. My fees are waived Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged.
