INFORMATION #1 08-22-1994 - Laserfiche WebLink

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,..---'" -- -----.~----. ---- - - -.---..... - - - - _------.-------------------- ----------- - - - - - - - - ~ ----- - - - - - ;;;,;.- - --.;;;.. CONFERENCE REGISTRATION AND HOUSING FORM , ATl'ENDEE PROFILE _ Please make my hotel reservations as indicated below. _ I do not require hotel acconunodations at any of the hotels listed below. _ Please conrnct me regarding suite information. _ I prefer a non-smoking room (assigned on a space available basis) Your assisrnnce in filling out this box will greatly help us develop an attendee profile, as well as identify first time attendees. Please check or fill in appropriate information. _ Newly elected to office this year _ Appointed to office this year First time conference attendee Arrival Date ----l----l_ Time Years in office Conferences attended NO REGISTRATIONS wnL BE PROCESSED WITHOUT ACCOMPANYING REGISTRATION P ADIENT IN FUU. PLEASE TIl'E OR PR~T Departure Date ----l----l_ Time Special Housing Request II e.g., wheelchair accessible rooms, etc. If you have special housing or transporrntion needs, please conrnct the Conference Registration Center. Name Title City or Organization Mailing Address City Telephone ( Family Member Attending: Spouse Full Name Child Child Sex F M State Zip I will be sharing a room with: Co-Occupant Name Mailing Address City Telephone ( Sex F M Srnte _ Zip Age Age ) CREDIT CARD AUTHORIZATION ~ , I \ffSA I c . Check applicable Conference Registration Fee and enter total fees in the right hand column: D Charge my registration fee (VISA or MasterCard only) D Charge my hotel room deposit (all major credit cards) Credit Card Company EARLY REGISTRATION FEES (postmarked by September 19, 1994) 8335 Direct Member $ $335 Associate Member 8 $415 Indirect Member $ $460 Non-Member & Other $ Credit Card Number Name as it appears on card ADVANCE REGISTRATION FEES (postmarked by November 4, 1994) $370 Direct Member $ $370 Associate Member $ $460 Indirect Member $ $525 Non-Member & Other $ Expiration Date The KLC Conference Registration Center is authorized to use the above card to pay all applica- ble registration fees and guarantee my hotel reservation. I understand that one night's room charge ~ill be billed through this card if! rail to showup for rny assigned housing on the con- firmed date unless I have canceled my reservation with the hotel at least 72 hours in advance. PRE-CONFERENCE SEMINARS (Wednesday, November 30, 1994) $135 I. Meeting Leadership & Facilirntion $ FREE II. Solving Community Housing Problem S FREE $135 III. Leadership forthe Common Good S $ 85 IV. Politics of Education $ $ 85 V. Hiring a New City Administrator S $ 85 VI. Avoiding the Ethics Trap $ $ 85 VII. Tools for Creating Jobs $ $ 85 VIII. Strategic Influence $ Cardholder Signature Date HOTEL PREFERENCE Rates listed below are for either a single or double room. Indicate your first-choice hotel with the number I, and check the room type you desire. Number the other hotels from 2 to 14 in order of your preference. Your hotel will be assigned based on your postmark date and hotel room availability at the time your request is processed. For suite information conrnct the NLC Conference Registration Center. All unguaranteed reservations will be automatically cancelled if not guaranteed 10 days prior to arrival. All rooms require one night deposit plus rnx per room. See atrnched Hotel Information. PRE-CONFERENCE SEMINARS (Thursday, December I) $135 IX. Alternatives to Violence & Crime S $135 X. City Design $ $ 85 XI. Connecting with Local Citizens $ $ 85 XII. Changing Women, Changing Lives $ $ 85 XIII. Sustainable Communities S $ 85 XIV. Reshaping Public Meetings 8 $ 85 xv. Tranformation Leadership $ Rate $105 $ 87 $ 94 $ 92 $109 $ 96 $ 75 $115 $ 89 $ 70 $ 90 $ 92 $ 97 $ 90 S D Choice Hotel Name (A) Crown Sterling Suites (B) Holiday Inn Crown Plaza Northsrnr (C) Holiday Inn Metrodome (D) Hotel Luxeford Suites (E) Hyatt Regency Minneapolis (F) The Marquette Hotel (G) Minneapolis Athletic Club (H) Minneapolis Hilton & Towers (I) Minneapolis Marriott City Center (J) Normandy Hotel (K) Park Inn International (L) Radisson Hotel Metrodome (M) Radisson Plaza Hotel (N) The Whitney Hotel SPECIAL EVENTS $150 NBC-LEO (fee includes workshops, banquet & 1995 membership dues) $ 35 HELO Annual Dues $ 65 HELO Conference Activities $ 50 WIMG 20th Anniversary Celebration TOTAL REGISTRATION FEES Make check payable for the total amount of the conference registration fees to: NATIONAL LEAGUE OF CITIES No telephone registrations or cancellations will be accepted. Please return this form with your registration payment to: NLC Conference Registration Center Dulles International Airport P.O. Box 17413 Washington, D.C. 20041 All major credit cards are accepted at the conference hotels. All government purchase orders, vouchers or claims must be submitted to the hotels FOUR WEEKS prior to your arrival, and are subject to hotel approval. I ,_ ~ For,FASTER REGISTRATION, use your credit card (fisa, MasterCard) and FAX your form to (703) 318-7568. ~ A B