Online Registration

If you are a current member of the NCBC, you may log in here to have your information pre-filled into the registration form. If you are not a member, you may fill in the registration form below without logging in.

NCBC ID If you do not know your NCBC Member ID number click here.
Last Name
 
* = Required Information

Contact Information
Site ID #
*First Name
*Last Name
Badge Name if Different
Professional Initials
Professional Title(s)
Department(s)
Facility Name(s)
Facility Mailing Address
*City
*State
*Zip
*Work Phone
Home Phone
Cell Phone
Fax
*Attendee Email
*Re-Type Email An email address is required.Email values do not match.
Website
Sponsoring Member's Name
Sponsoring Member's NCBC ID
   

Pre-Conference Courses & Certifications - Fees cover designated meals and course materials
National Recognition for Breast Centers of Excellence: Service Line Optimization
$469 for conference registrants, $599 for non-conference registrants
Breast Cancer Risk Assessment: A Collaborative Approach
$100 for conference registrants, $200 for non-conference registrants
Clinical Breast Examiner Certification
$895 (limited to the first 28 registrants)
 
Breast Patient Navigator Certification (BPNC)
$300 for 2012 NCBC members or BPNC members. Includes study guide.
$395 for non-NCBC members, non-BPNC members, and members who are not also attending the 2012 General Conference. Includes study guide.
$150 for 2009 National or Regional attendees of the Navigator beta program. Last offering for lifetime certification at this rate. Study guide not included.
 $50 2012 study guide for 2009 Navigator beta program attendees

BSE Trainer Certification
$100 for conference registrants, $200 for non-conference registrants
(limited to the first 40 registrants)

3½ Day 2012 General Conference
Fees cover all meals, receptions, syllabus and Wednesday's Survivorship Symposium!
 
Individuals with an NCBC Member Site
$479 for any 2012 NCBC member who is a full, professional or associate member employed by a member site. Member ID # must be noted above to get member rate.

$569 for each additional person registering from a site that is a full member, but where registrant is not a member of the NCBC with a member ID number. Fee includes registration and 2012 membership with full benefits.
  New members - please call the NCBC office for package pricing
   
 
Individuals with a non-NCBC Member Site
$729 for the first person of a non-member site. Fee includes registration and 2012 individual and site membership with full benefits.

$569 for each additional registrant from a non-member site. Fee includes registration and 2012 associate membership with full benefits.

$639 for an NCBC member with associate status registering from a site that does not have current site membership.
Corporations or Small Businesses Not Exhibiting
$2000 per person employed by corporation or small business that provides products or services to breast healthcare professionals or facilities. Please call the NCBC office prior to registering for special offers and further details.
Not Attending 3½ Day Conference

Discounts, Late Fees & Registration Exchanges
  Special Group Rate
Available for groups of three or more attending from the same facility. Individuals registering in groups must be processed together to be eligible for group rates. To register as a group, list the full name of each group member below including yourself (one person per box), placing member names in the left column and non-member names in the right column.

Each person is also required to complete their own registration form separately.

Member(s) Non-Member(s)
   
Late Fee
If registering on or after March 1, 2012, add a $100 processing fee
   
  If Registering Under Another Person's Membership
If you are registering using the 2012 individual membership of another person in your facility who will not be attending, please identify:

1) The name of that person
2) Their individual member ID#
3) and the member site ID#
   
  Click the "Review Registration" button below to review your registration fees. You will not be billed nor confirmed to attend until you complete the following page.