1997 AGN MAR 18 I22 - Laserfiche WebLink

Browse Search

p'ULL. type or print City or Sex &F ti[ailing Address (O`7() IV• L1-1 ('(-})J'j} City State l7i ip Telephone - Family Members Attending ($25 non-refundable registration fee for spouse/guest; no fee for youth under 18): Spouse Full Name Sex M F Child Age Child _Age 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 Howl.� ]�V�IJ�.tiGUYVl i�7 RL92 m (Please type or print) ❑ Please make my hotel reservation as indicated below. ❑ 1 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, e.g., wheelchair accessible rooms, please contact the Conference Registration Center Special Housing Request: Arrival Date �D %� � 7 Time I I '• i Departure date MQ n y 9 7 Time 4' *• s. i• i ile -0"e.11 as ❑ Charge my registration fee v>•t• (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 lbe N.0 Confamm Rgkation Canter is authorized m use the above card to pry all applicable mpcaoon ev and guaiamte MY hotel mavatiom I tmde suad dut ons aight's room ch7 will be baled to this card 11 fart to shoe m fu ty assigred hors- ing tmthe cconfir�med�da t un6I have analled my reservatim v; -J the hotel at las &N, days m �dvaotrcFtm atmal dm Hotel R&U� Iad vete yaw ittstchaice lord with thz umber I. �u abet oche xtds atom? m I1 A order of iow 2cam Yow Sad and room type will be assigned based on your postmark and hotel to= ave labiliry at the tae vow tors I �wl Towers __---------- S220 S240 r 3-�0--- ill major credit Ards are accepted at the above hotels for room deposits and/or guarantees. YOU NItiST COMPLETE AND SIGN "CREDIT CARD ALITHORMkTIOY" e SECTION ABOVE. Registration payments are accepted by VISA and Mastercard only. All government purchase orders. vouchers and Claims must be sub. mined to the appropriate hotel FOUR WEEKS in advance of arrival date and arc subject to approval by the hotel. Please return this form with your registration payment to: NLC Conference Registration Center P. U. 8ux 35USO Lock 13ox 4053 Richmond. Virginia 23243 0v Knight your form and payment-. �• to:m�NLC Registration Center Two Vinta//�� ge Park. Suite .Oil F. 4536. Vintage park Plaza hor nwm utfurmauun.in I lam .all rhr R.^�i.rr ur.m t',nr: r 1.Ut�(l (Postmarked by February 7, I997) psft ❑ $320 Direct Member Fee* $ E- " 5320 Associate Member Fee* $ Q $395 Indirect Member Fee** $ C 5450 Other— $ E $25 Spouse Fee $ LEADERSHIP TRAPQNG INST ITJTE SEMINARS FRIDAY, MARCH -'r S 95 Meeting Your Citizens' Expectations $ S 95 Connecting Electronically $ 95 Leveraging Resources for Safer Communities $ _ $ 95 Integrity Based Leadership $ 7 S 95 The Power of Effective City Hall Teams ,.\ URDAA-. MARCH 8 $145 The Telecommunications .Act of 1996 $1+5 Facilitation Skills for Encouraging Citizen Involvement $ - $ 95 Coalitions, Power, and Constructive Conflict $ _ S 95 Anticipatory Leadership $ $ 95 Maximizing Council Effectiveness S 95 "First Things First" $ $ • ntF __V_ZW,_,Ev uay Celebrate Diversity Breakfast $ -' PAMO S33 Member Dues $ G_LBLO S25 .Activities Fee $ NBC -LEO S50 Activities Fee $ X%INIG _ S90 Saturday Luncheon $ -- $5(7 Direct Member Dues $ Soo Non-member Dues $ S, S Supporting Former Official Dues $ TOTAL 3 Unita fee S370 atir:r February 7. 199, "Onsite fee $460 after February 7, 199; ••f )n -vice fee S400 after February 7. 1997 t in,: by check, make check payable for the total amount of the conference registration fees \ \1. 11' \k u.f: C)F CI'1'lt � It paying by credit qrd till out • the "Credit Card Authorization" portion ancehl.uron letters must be postmarked by February 7. 1997 of this form, • ill cancellations are subjecr to a $so cancellation fee. • \o telephone registrations or cancellations will be accepted. Howl.� ]�V�IJ�.tiGUYVl i�7 RL92 m (Please type or print) ❑ Please make my hotel reservation as indicated below. ❑ 1 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, e.g., wheelchair accessible rooms, please contact the Conference Registration Center Special Housing Request: Arrival Date �D %� � 7 Time I I '• i Departure date MQ n y 9 7 Time 4' *• s. i• i ile -0"e.11 as ❑ Charge my registration fee v>•t• (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 lbe N.0 Confamm Rgkation Canter is authorized m use the above card to pry all applicable mpcaoon ev and guaiamte MY hotel mavatiom I tmde suad dut ons aight's room ch7 will be baled to this card 11 fart to shoe m fu ty assigred hors- ing tmthe cconfir�med�da t un6I have analled my reservatim v; -J the hotel at las &N, days m �dvaotrcFtm atmal dm Hotel R&U� Iad vete yaw ittstchaice lord with thz umber I. �u abet oche xtds atom? m I1 A order of iow 2cam Yow Sad and room type will be assigned based on your postmark and hotel to= ave labiliry at the tae vow tors I �wl Towers __---------- S220 S240 r 3-�0--- ill major credit Ards are accepted at the above hotels for room deposits and/or guarantees. YOU NItiST COMPLETE AND SIGN "CREDIT CARD ALITHORMkTIOY" e SECTION ABOVE. Registration payments are accepted by VISA and Mastercard only. All government purchase orders. vouchers and Claims must be sub. mined to the appropriate hotel FOUR WEEKS in advance of arrival date and arc subject to approval by the hotel. Please return this form with your registration payment to: NLC Conference Registration Center P. U. 8ux 35USO Lock 13ox 4053 Richmond. Virginia 23243 0v Knight your form and payment-. �• to:m�NLC Registration Center Two Vinta//�� ge Park. Suite .Oil F. 4536. Vintage park Plaza hor nwm utfurmauun.in I lam .all rhr R.^�i.rr ur.m t',nr: r