NCWA Convention Registration - North Central Wholesalers Association

Step 1: Company Information

Company Name*

Contact Name*

Address*

Street Address Address Line 2 City State ZIP Code

Contact Email*

Enter Email Confirm Email

Phone Number*

Company Category*

VENDOR MEMBERSHIP REGISTRATION

Are you a Manufacturer or Rep attending the convention but not a member? Register and become a member for $275 Annual Dues. Companies are required to be members of NCWA to attend the convention.

Please add Vendor Membership with NCWA ($275 Annually)

Yes, please add a membership fee to my registration
No, not at this time

Vendor Membership

Price:

STEP 2: Attendee Information and Registration

Delegate Registration Fee: $349.00
• Business Meetings (1 fee per Manufacturer or Rep company): $275.00
• Spouse/Guest Registration: FREE
• Golf Tournament Registration: $195.00
• Sporting Clays Tournament: $175.00
• Axe Throwing: $55.00

Delegate Information

1. Register as a:*

VENDOR DELEGATES ONLY: Manufacturer and Rep Delegates who wish to participate in the Business Meetings will pay this fee. Only one delegate per company should pay the Business Meeting fee, additional delegates from the same company or Media please select "No, not responsible."

VENDOR DELEGATES:*

Yes, I wish to participate in the Business Meetings. (1st Manufacturer or Rep delegate only)
No, I am not responsible for Business Meeting Fee (Wholesalers or additional vendor delegates)

Business Meeting Fee

Price:

1. Delegate Name*

1. Title*

1. Address, City, State, ZIP

1. Phone

1. Email*

1. Will your Spouse be attending? FREE

Yes

1. Spouse Name*

1. Register for Golf? $195 (Tues. June 10)

Yes

1. Golf Registration

Price:

1. Your handicap:

1. Partner Preferences (optional)

Partner requests will be honored if possible.

1. Register for Sporting Clays? $175 (Sun. June 8)

Yes

1. Sporting Clays Registration

Price:

1. Register for Axe Throwing? $55 (Sun. June 8)

Yes

1. Axe Throwing Registration

Price:

Do you have another delegate to enter?

Yes

2. Registered as a*

2. Delegate Name*

2. Title*

2. Address, City, State, ZIP

2. Phone

2. Email*

2. Will your Spouse be attending? FREE

Yes

2. Spouse Name*

2. Register for Golf (Tues. June 10)? $195

Yes

2. Golf Registration

Price:

2. Your handicap:

2. Partner Preferences (optional)

Partner requests will be honored if possible.

2. Register for Sporting Clays (Sun. June 8)? $175

Yes

2. Sporting Clays Registration

Price:

2. Register for Axe Throwing (Sun. June 8)? $55

Yes

2. Axe Throwing Registration

Price:

Do you have another delegate to enter?

Yes

3. Registered as a*

3. Delegate Name*

3. Title*

3. Address, City, State, ZIP

3. Phone

3. Email*

3. Will your Spouse be attending? FREE

Yes

3. Spouse Name

3. Register for Golf (Tues. June 10)? $195

Yes

3. Golf Registration

Price:

3. Your handicap:

3. Partner Preferences (optional)

Partner requests will be honored if possible.

3. Register for Sporting Clays (Sun. June 8)? $175

Yes

3. Sporting Clays Registration

Price:

3. Register for Axe Throwing (Sun. June 8)? $55

Yes

3. Axe Throwing Registration

Price:

Step 3: Billing and Credit Card Information

You will receive a confirmation shortly after you submit your registration containing the information on this registration form. Please look over the information and send any questions or corrections to: [email protected]
You will be responsible for room payment upon hotel departure. Please click on the Lodging tab for hotel information and link to book room.

Omni Bedford Springs Resort

2198 Sweet Root Rd

Bedford, PA 15522

For Room Reservations please go to "Lodging" tab
(814) 623-8100
“group code: North Central Wholesalers”

Amount Due
$0.00

Payment Method

Credit Card

Billing Address*
Same as company address in Step 1

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card

American Express
MasterCard
Visa
Supported Credit Cards: American Express, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Name
This field is for validation purposes and should be left unchanged.

NCWA 2025 Convention Registration

Step 1: Company Information

VENDOR MEMBERSHIP REGISTRATION

STEP 2: Attendee Information and Registration

Delegate Information

Step 3: Billing and Credit Card Information

Omni Bedford Springs Resort

2198 Sweet Root Rd

Bedford, PA 15522