2021 Citation Award Dinner Registration Form

NCCJ's 2021 Citation Award Dinner: An Evening of Connection, Compassion and Community. Honoring Betty Cone and Kitty & Earl Condon. Chaired by Derek Ellington.

Join us virtually OR in-person at the 2021 Citation Award Dinner! 
Wednesday, November 10, 2021

Fill out this form to become a table sponsor, pledge a donation, or reserve your tickets. 
Every gift supports NCCJ's work of fighting bias, bigotry and racism 
and convening respectful conversations in our community. 

Sponsors, wondering what sponsorship level is right for you or your organization? 
Click here for the Sponsorship Chart to learn more about each sponsorship level and its benefits. 
(Logo placement starts at the Respect Champion level.)

Questions? Contact Gloria Hoover at ghoover@nccjtriad.org or 336-272-0359 x 160.

Enter any date between now and June 30, 2022

Formal Contact Person

Event Contact Person (only if different from Formal Contact)

Contact Info


We're grateful for your support and looking forward to celebrating with you on November 10. 

NCCJ's small but mighty team is working to make this event a fun, accessible and inspiring evening of community-building and celebration for you and your guests. 

Between now and November 10, Gloria Hoover will be in touch with you to share updates, including any details you and your guests will need (whether you are attending in-person or virtually.) If you have questions in the meantime, please feel free to reach out to Gloria by email at ghoover@nccjtriad.org or by phone at 336-272-0359 x 160. She's here to help!

Note: Pledge forms and payment can also be mailed to NCCJ at 713 North Greene Street, Greensboro, NC 27401.