2026 Regional Chain Conference Individual Substitution Form

2026 Regional Chain Conference Individual Substitution Form

Please make note of the important hotel information at the bottom of this form.
Person Completing the Form
Name*

First NameLast Name
Date*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Person No Longer Attending
Name*

First NameLast Name
Email*
example@example.com
Has this person left the company?*

YesNo
New Registrant Information
Company*
Prefix*
Name*

First NameLast Name
Nickname (for badge)*
Title*
Phone Number*
Please enter a valid phone number.
Mobile Phone*
Please enter a valid phone number.
Email*
example@example.com
First Time Attendee?*

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Spouse/Companion Information
Prefix
Spouse/Companion Name

First NameLast Name
Nickname (for badge)
Spouse/Companion Email
example@example.com
Spouse/Companion Mobile Phone
Please enter a valid phone number.
Emergency Contact Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Hotel Information

Please provide the arrival and departure dates of the new registrant.
Arrival Date*

MonthDayYear
Date
Departure Date*

MonthDayYear
Date
Registration Fees
NACDS will apply the registration fee from the prior registrant. It is the new registrant's financial responsibility to make any necessary accounting updates/changes to reflect the substitution with their company.

Website Information
Selected areas of the conference web site will be accessible to conference registrants only. Your login information will be activated once the substitution has been completed and your registration confirmation is sent. Your username is your email address. If you do not know your password, or have not set up a password, you can use the “Forgot Password” function to reset it. If you have any questions regarding this, please contact the NACDS Registration Department at registration@nacds.org.

Important Hotel Information
Please do not use the link in your confirmation email to change the name on the reservation. Please provide the new attendee information and MCI USA, the appointed housing provider, will make the name change on the reservation for you.

The hotel requires a first and last night's deposit, which may be charged to the credit card provided as early as Friday, December 19, 2025. No refunds will be available for any cancellations, date changes or no shows after this date. If you have any questions, please contact the NACDS Housing Provider at nacdsregional@mcievents.com.
Should be Empty:

2026 Regional Chain Conference Individual Substitution Form

Person Completing the Form

Person No Longer Attending

New Registrant Information

Spouse/Companion Information

Emergency Contact Information

Hotel Information