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The Honorable Jahn KymftyMn j <br />City of Roseville L,EADERSHIPVISTT <br />{ <br />2003 INTERCITY LEADERSHIP VISIT <br />SEATTLE WA, EFFEMBEli 28 - 30 <br />i <br />DELETE REGISTRATION FO" <br />Registraflon Information: <br />llm#ncs% Pbos Bust ncu Fax: <br />Errs i I <br />Non hwcs t Airli nrs m j r-mquror Flyer)_ <br />E 11otr 1 Rr kon) (MV.-Ise-check (nic l (3 Smoktng ❑ � ��- �, �c C� �� ; <br />$ ijinv I'honr N uinbcr ( in case we necd to %-tj iit ac i Vou 11rtior Et �iIndaY'% &ra r•r#Ire) <br />I )rrwrr to crmract in case of crncrgemy phone: w .. <br />luaIrlr In rancc rrx:r w..�a.. � ..::.��...._ Plan /PnI$i�y No <br />Creel f t Card I nforrn ion : f Rcq:orr�_ or bot,, r i � �ilt't: it c� .irr t pip one t? , r nr <br />aine a4 a aptwar% tali Crf. dii Card � ._ .... ..� <br />Pkasc i`.ahcck rry, <,I (_iCd i t Gerd <br />Visa d American ExPTMS E3 ► asrcr Cirri Q DrWCOVer ❑ <br />Credit Card Number <br />Expiration Darc. Sisqattirc. <br />Nanw w, you would like it it) aW ar- ou your nwnr dgc <br />t..IICLk 1 -tcrr if X1(41 4 CAJId hkc to pay the DcIL-gate krgistY afion fie: w idt thK c relic card- ❑ <br />FLOTALAMOYNT- <br />DUE: . <br />*Tba ap"uroir covers L& expcnici mciadiff airfart. Wei, wah, coffer b "a6, tri istodallan.. ozJ 1 spswlay iw?it It dar i <br />0,0 } 111dwir ally 11fridoir -11 llute? Cx1motso el "bor any dmiatiolr5,irom thirscluluffd airlintfli#bI or }lean 0"4701 o <br />PAYMENT MUST ACCOMPANY REGISTRATION AND BE RECEIVED BY FRIDAY, AUGU A 1.2, <br />Make Lhecks payabl c to the MRCC and mail in the encl4Dsed siclf -add ressed envelope or we will charge <br />the credit card listed aeve* Regisimcion its fimitcd, non - transferable, and is� not guaranteed until form � <br />payment is received and form is accepted by the Minneapolis Rcgionall Chamber of Commerce /Saint <br />Paul Area Chang of Commerce. <br />Questions? Contact 1'J cndy Hclge n' Vice President, Programs at 612-370.9181 OR Ellen Wa t t+c rs, <br />Scntor Vice Presi&nt Econarnic Development at 651-365-:1796. <br />Cancg11aj1Qfl MlWiicv <br />An d• cauccilaKton received be-fore Friday, Augucr 23, :1003 will rcsnit in a full retund minus a 10 adminis t ra tive, <br />fee aW any twas assc i.ated with room and or airline charges at that time. No refunds will be givvn afLCT Friday <br />Aught 2r2! 2003, <br />Return of this Porno ind catrr that you accept rho terms of the cancellation policy <br />