Individual Registration Conference Registration 2021 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 2021 NGAMS Conference.Have you paid your 2021 dues?*NoYesMembership TypePlease select oneAnnual MembershipActive Life MembershipRetired Life MembershipSpouse of Deployed Service MemberEnlisted LeadershipActive Duty/Conference GuestYou may pay your dues with either our Life Membership Form or our Annual Membership Form.RankPlease selectOfficer 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 SizeSmallMediumLargeX-LargeXX-LargeXXX-LargeMailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Will you be bringing guests?*NoYesPlease list your guestsFirst NameLast Name Preferred Name on BadgeFirst NameLast Name T-Shirt SizeSmallMediumLargeX-LargeXX-LargeEmail (civilian preferred)* Cell Phone*Spouse Email (civilian preferred)This email allows us to send information directly to spouses or significant others. National 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.Friday Morning Golf is full at this time.Golf - Friday Morning Flight (Begins at 8:00 am)Friday Morning Golf is full at this time. Please contact Greg Taylor with any questions. $75 per person. The Refuge Golf Course, 2100 Refuge Blvd. Flowood, MS 39232 NoHow many?Golf - Morning FlightParticipant names:Please include all participant names. Use the (+) icon to add more names.Name Do you require transportation to the event?NoYesGolf - Friday Afternoon Flight (begins at 1:00 p.m.)$75 per person. The Refuge Golf Course, 2100 Refuge Blvd. Flowood, MS 39232 NoYesHow many?Golf - Afternoon FlightPlease enter a number greater than or equal to 1.Participant names:Please include all participant names. Use the (+) icon to add more names.Name Do you require transportation to the event?NoYesGolf - Saturday Afternoon Flight (begins at 1:00 p.m.)$75 per person. The Refuge Golf Course, 2100 Refuge Blvd. Flowood, MS 39232 NoYesHow many?Golf - Afternoon FlightPlease enter a number greater than or equal to 1.Participant names:Please include all participant names. Use the (+) icon to add more names.Name Do you require transportation to the event?NoYesGolf - Sunday Morning Flight (begins at 8:00 a.m.)$75 per person. The Refuge Golf Course, 2100 Refuge Blvd. Flowood, MS 39232 NoYesHow many?Golf - Sunday Morning FlightPlease enter a number greater than or equal to 1.Participant names:Please include all participant names. Use the (+) icon to add more names.Name Do you require transportation to the event?NoYesTennis$20 per person. River Hills Club, 3600 Ridgewood Rd., Jackson, MS 39211NoYesHow 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 Do you require transportation to the event?NoYesBowling$15 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.NoYesHow 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 Do you require transportation to the event?NoYesSkeet Shooting (Skeet Shoot is full at this time)Skeet Shoot is full at this time. $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.NoHow 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 Do you require transportation to the event?NoYesPistol Competition$35 per person. Magnolia Rifle & Pistol Club, 2435 Florence-Byram Rd, Florence, MS 39073. 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.NoYesHow 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 Do you require transportation to the event?NoYes5K Run$20 per person. Run/walk starts in front of the Refuge Hotel, goes through the Refuge Resort and back to the Refuge Hotel.NoYesHow 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 5K Run T-Shirt SizeSelect t-shirt size ONLY if participating in the fun runSmallMediumLargeX-LargeXX-LargeTeam Listing for Sporting EventsIf you are playing golf, bowling or skeet shooting with a team and team members are paying separately please list the other members here.Opening Ceremony, Ribbon Cutting and Hospitality NightFree of chargeNoYesHow 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$20 per personNoYesHow 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 personNoYesHow 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 chargeNoYesHow 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 personNoYesHow 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 personNoYesHow 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 personNoYesHow 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 personNoYesHow 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 personNoYesHow 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 personNoYesHow 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 chargeNoYesHow 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 personNoYesHow 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 Retirees Hospitality Room$20 per person. The retirees now have their own At Ease Hospitality Room for Friday evening and Saturday. 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. NoYesHow 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 CommentsFees waived?If, for some reason, your fees are waived, please check here. My fees are waived Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged.
