9.8. SR 012-21-1997 - Laserfiche WebLink

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NO REGISTRATION WILL BE PROCESSED WITHOUT ACCOMPANYING PAY),IEXT IN FULL. Please type or print Name Reg a Title City or Organization Mailing Address City. State .Zip Telephone ( ) Family Members Attending ($25 non-refundable registration fee for spouse/guest; no fee for youth under 18): Spouse Full Name Child. Child 1. [] This is my first Congressional City Conference. 2. [] I am newly elected to office. 3. [] The size of my city is Check applicable Conference Registration fee and enter total fees in the right hand column Advan R n ff2ostmarked by February 7, 1997) $320 Direct Member Fee* $.__ [] $320 Associate Member Fee* $ [] $395 Indirect Member Fee'}'. $.~ [] $450 Other*~ $ [] $25 Spouse Fee $ LEADERSH~ TRAINING INSTITUTE SE~ARS Sex M F Sex M F Age__ Age.~ Hotel Acromm(xtafions (Please type or print) ~ Please make my hotel reservation as indicated below. [] I do not require hotel accommodations at any of the hotels listed below. '~ Please contact me regarding suite information. [] I prefer a nonsmoking room (assigned on a space available basis) [To accommodate your special needs, wheelchair accessible e.g., rooms, please contact the Conference Registration Center Special Housing Request: Arrival Date / / Time Departure date __ /__ / __ Time [] Charge mv registration fee I -~ (Visa or MasterCard only) "~'-~ [] Charge my hotel room deposit (all major credit cards accepted) Credit Card Company Card Number Expiration Date Card Holder Signature Date The NLC Cont'etence Reg~mati0n Center k aut,~rized to um the above card to my alt applicable regnStxati0n fe~ and guamtce my hotd re~,'~ati0n. [ understand that one night's room d'~ge will be billed to ~his ~d if I fail to ~ up for my ~igned how- ing on the contlrna, d date unte~ I have cancelled my resev, ation ~.ith the hotel at least five da)~ ~ advance of mx' arrival date. Hotel FRIDAY, MARCH 7 [] $ 95 Meeting Your Citizens' Expectations $__ [] $ 95 Connecting Electronically $ [] $ 95 Leveraging Resources for Safer Communities $ [] $ 95 Integrity Based Leadership $ [] $ 95 The Power of Effective City Hall Teams $ SATURDAY, MARCH 8 [] $145 The Telecommunications Act of 1996 [] $145 Facilitation Skills for Encouraging Citizen Involvement $. [] $ 95 Coalitions, Power, and Constructive Conflict $ [] $ 95 Anticipatory Leadership $ [] $ 95 Maximizing Council Effectiveness $ [] $ 95 "First Things First" $.__ - ebrate Diversity Breakfast $ APAMO ~ $35 Member Dues $ GLBLO ~ $25 Activities Fee $ NBC-LEO [] $50 Activities Fee $ WlMG [] $40 Saturday Luncheon $ [] $50 Direct Member Dues $ [] $60 Non-member Dues $,-- [] $75 Supporting Former Official Dues $__ TOTAL $ IMicate your fimchoice hotel ~{th the number 1. Number other hotels from 2 to I I in order 0f,.'0ur preference. Your ho~el and room e,.~ ~'ill be assigned based on your po~nuxk and hotel room availability at the time your r~qu~ is postmarked. CHOICE HOTEL SINGLE DOUBLE Embassy Row Hotel (A) $145 $145 Embassy Suites Downtown (B) $145 $145 Hotel Sofitel (C) $150 $150 Marriott Courtvard (D) $125 $125 Radisson Barcelo Hotel (E) $120 $120 Sheraton City Center (F) $125 $125 Sheraton Washington (G) $146 $166 The Capitol Hilton tH) $144 $144 The Omni Shoreham Hotel (I) $134 $144 The Stouffer Mavflower Hotel (J) $169 $169 Washington Hilton Hotel (K) $146 $166 Towers $220 $240 All major credit cards are accepted at the above hotels for room deposits and/or guarantees. YOU MUST COMPLETE AND SIGN "CREI)IT CARD AUTHORIZATION" SECTION ABOVE. Registration payments arc accepted by VISA and Mastercard only. All government purchase orders. vouchers and claims must be sub- mitted to the appropriate hotel FOUR WEEKS in advance of arrival date and are subject to approval by the hotel. 'Onsite fee $370 after February 7, 1997 "Onsitc fee $460 after February 7, 1997 '"On-site fee $4q0 atter February 7. 1997 If paying by check, make cheek payable for thc total amount of the conference registration fees to: NATIONAL LEAGUE OF CITIES If paying by credit card. fill out thc "Credit Card ,Authorization" portion of this form. · C:anccllation letter:, must be postmarked by February 7, 1~97 · :MI cancellations arc subject It> a $51} canccilation feel · No telephone registrations or cancellatmns will be accepted [)lease return this form with your registration payment to: NLC Conference Registration Center P. O, I~x 85080 '..{z:k l~)x 405.t Richmond. Virginia 23285 1. )vcrnight your form and payment NLC Registration Center Two Vintage I'ark. ';ulte 200 4q ;h3 Vintage Park Plaza >tcriine. \'iro~llna 20l~h Phone (703) 318-0700 "~ All ~.'~slon~ will be held at thc \Vashin,_.~m Hilton