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Dague of California. Cities. <br />D-iU a qlate' <br />City Council -City Manager Leadership .Ti % I/ i <br />Wednesday - Friday, January 20-22, 19S <br />Kellogg West Conference Center <br />Pomona �l <br />ADVANCE CONFERENCE REGISTRA <br />COLTON wishes to register five el <br />The City of <br />The following officials have agreed to attend this workshop. (Please indicate titles as we -- <br />City Manager: 1.) C ' <br />2.) ASSISTANT CITY MANAGER DARYL'PARRISH <br />Mayor/Cauncit'Members <br />J.) MAYOR KARL E0 GAYTAN, 05-4 <br />4.) NA1r' 105-6 <br />5.) COUNCILMEMBR KELLY J. CHASTAIN <br />6.) _ CE} <br />7.) COUNCILMEMBER DEIRDRE H. BENNETT fad <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 />XXCity Check Personal Check r VVISA MasterCard <br />Deposit: 5200 x persons = S <br />Payment in full: $2,800 Dius $650 per persons above minimum three attendees = $ 2 . b D D _ 00 <br />Authorized Signature k OA -1 0 !'P r-:E!A - n Fi-coms, BREGUTIVH <br />Name on Credit Card: CODON CITY CO UNC I L Telephone:- (9091- 3 7 0 5 n Kn <br />Credit Card Number. <br />Expiration Date: APRIL 1999 <br />We understand that space for this workshop is limited, and that other .cities cannot be expected to clear their calendars to attend en our0 <br />place on short notice if we cancel. Therefore, we understand that we will forfeit either 1 forfeit our ur dable registration deposit <br />of fees$0 per Pers <br />and our reserved spaces if we do not pay, in full or cancel before the deadline; or we <br />for <br />$250r erson if we cancel prior to four weeks prior to the start of the workshop. After this date we understand no refunds will be <br />1� P <br />possible because of contractual cominitments. <br />Vhis�fa_ <br />tore of Mayor/Managerorm myst 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 />IL <br />