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U <br />�C�-■ r L{HESE Y� <br />i ■ �E <br />"m League of California Cities <br />The City of <br />APPROVED BY COUNCIL AT ACOUNCIL M'rci ur L.i- L I7c <br />PLEASE PROCESS AND ThanksLFA <br />BY Tuesday, NOVEMBER <br />Y <br />City Council - City Manager Leadership .Team Workshop <br />Wednesday - Friday, January 20-22, 1999 <br />Kellogg West Conference Center <br />Pomona <br />ADVANCE CONFERENCE REGISTRATION FORM <br />COLTON wishes to register f ive elected officials and the city manager. <br />The following officials have agreed to attend this workshop. (Please indicate titles as well as names.) <br />City Manager: <br />Mayor/Council Members <br />1.) C ' <br />2.) ASSISTANT CITY MANAGER DARYL PARRISH <br />3. MAYOR kJA-­RL E. GAYTAN 45-06 <br />4. MAii nR 54 <br />5.) COUNCILMEMBR KELLY J. CHASTAIN <br />6. ) CO _ <br />7.) COUNCILMEMBER DEIRDRE H. BENNETT &S-0 <br />TOTAL COSTS:��•��' <br />(Three participants constitutes a minimum team Substitutions may be made up to the start of the program.) <br />To help us plan for any special needs, please call the conference registration office at 925/283-2113 if any registrant requires special <br />accommodations for disabilities. <br />PAYMENT INFORMATION: Check which is enclosed (no purchase orders, American Express or Discover cards). Make <br />checks payable to League of California Cities. <br />XX City Check Personal Check -T—VISA MasterCard <br />Deposit: $200 x persons = $ <br />Payment in full: $2,8001us $650 per __persons above minimum three attendees= $ 2 600 -DO <br />Authorized Signature fe <br />Name on Credit Card: <br />Telephone: f 9 0 91 3 7 0 5 0 6 0 <br />Credit Card Ntdhber: <br />Expiration Date: <br />rte" :.i � L <br />We understand that space for this workshop is limited, and that other cities cannot be expected to clear their calendars to attend in our <br />place on short notice if we cancel. Therefore, we understand that we will forfeit either our non-refundable deposit of $200 per person <br />and our reserved spaces if we do not pay in full or cancel before the deadline; or we will forfeit our full registration fees except for <br />$250 perif a cancel prior to four weeks prior to the start of the workshop. After this date we understand no refunds will be <br />nneeihlactual commitments. <br />t998 <br />Signature of Mayor/Manager l«c <br />This form must be postmarked by the appropriate deadline: Wednesday, December 2, 1998 <br />Please mail to: <br />League of California Cities <br />P.O. Box 1519 <br />Lafayette, CA 94549 <br />925/283-2113 (For those paying with credit card ONLY, you may fax to 925/283-7833.) <br />