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�"�i��.,ll'�� CONFERENCE REGISTRATION at http://www.nlc.org
<br />No housing or registration will be processed without accompanying payment in full.
<br />Ai�e you a newly elected Of�fClc��? Size of ���
<br />Name S e x
<br />19t.1e
<br />CitylOrganization
<br />Mailing Addl'ess
<br />City State ZIp
<br />Phone
<br />r�u
<br />Email
<br />SQouselPartner Name' ($50 fee)
<br />"bpons�/ParU�er nof �llglblC for n srparn(e Lolel room
<br />Child Name ( ��} and under, no fee) Age
<br />1'011tll Delegate" (15- 18, $75 fee) A g e -
<br />"Loca101HClais arr encnuragerl to �rglster,yout6 as act(ve p�PWClpanfs In W�is wnference lo
<br />COO�fI�)IIfL' to ��� �g IOt�tfl agenda. l/t6B N71/fh delega[e �IWfCS ��p(,eI accommoda[ions separa[e
<br />fitim ,irourx, alL7CI1lI1C re$13t�'7tlotl /orm It�ltll J'OIIP completed /orm.
<br />Youth Chaperone Name ($75 fee)
<br />SPECIAL CONFERENCE RATES
<br />5 $335 l''II'St-TIIIIC Attendee ffi
<br />G $335 Delegate with Efltil'C Council (a!1 forms mnat 6c attnc6td) $
<br />SG $50 SpouselPartner (non•Pefiu►dnUlc) $
<br />7 $75 Youth Delegate $
<br />s S 75 vo�tn Chaperone (nut n�,uucn�►c io e�ecrcn nmc►nis� $
<br />EARLY REGISTRATION FEES (Postmarkedby5eptem6er30,�002)
<br />I $435 NLC Member City
<br />2 $�435 Associate Member
<br />3 $545 SML Member City
<br />:� $f60 Non-Memberl0ther
<br />$
<br />�
<br />�
<br />$
<br />ADVANCE REGISTRATION FEES (Postmarked6yNovember 13,2002)
<br />I $470 NLC Member City (Onsite rate Is $510 BfteT 11/13/02) $
<br />2 $470 Associate Member (Onsite rate is $510 after 1 1/13/02) $
<br />3 $590 SML Member City (Onslte rate Is $835 after 1 1/13102) $
<br />4 $700 Non-MembedOther (Onslte rate is $755 after 1 �/1�/�2) $
<br />REGISTRATION FOR LEADERSHIPTRAINING INSTITUTE SEMINARS
<br />(December 3 & 4,2002)
<br />To REGISTER. codes and fees are listed beside the Le�de�sl�lp7l�alntng �nstitute title
<br />in,�rour bivchure. lotr tntrst be IGg1StC11�(� for Gle CoOfeILIICe �I] OIY�CP to attend.
<br />Tuesday. December 3rd - Full-Day Seminar C o d e: �, �
<br />'Nesctay, December 3rd - Morning Seminar C o d e: __ $
<br />'I11esd�y. December 3lCl -Aftemoon Seminar Code: _ $
<br />Wednesday, December 4th � Full-Day Seminar C o d e: __$
<br />Wednesday,December4th-MorningSeminar Code: _$
<br />14�ednesday, December 4th - Afternoon Seminar C o d e: __ $
<br />LTI Participant & Recognition Luncheon- $30 C o d e: __�
<br />SPECIAL EVENTS
<br />PI $ 3 5 Ecumenlcai Prayer Breakfast $
<br />CONSTITUENCY GROUP DUES AND EVENTS
<br />To REGISTER, codes and fees am �)SGCtl under tbe Constituency Gmup section of the
<br />�l�Cillll'8. 3'OU must be reglste�ed for the conPet�ence in order to attend.
<br />,°IP�MD Membership DueslActivity Fee Code: _ $
<br />GLBLO Activity Fee �OdC: _ $
<br />HGL� Membership Dues/Activlty Fee COtle: _$
<br />HGLO Activity Fee (nonmembers only) Code: � S
<br />NBGLEO Membership D�CS/ACtivity Fee Code: _$
<br />NBC-LEO Membership Luncheon Event (nonmember only) Code: __ $
<br />«��'IG Membership DueslSalt Lake CIGj' Luncheon Code: ,,,_ $
<br />WIMG Salt Lake City Luncheon (��onmembery only) Code: _$
<br />WIh�IG Welcome Reception (members&nonmembers) Code: __ $
<br />Total Registration Fee: $
<br />Salt Palace Convernion Cerner
<br />Salt Lake Clty, Utah � December 3-7, 2002
<br />Advance Registration Deadline:
<br />November 13,2002
<br />HOTEL RESERVATIONS:
<br />You must be registered to reserve a hotel room. To guarantee your room. all hotels
<br />PequICC one night's deposit plus tax, per mom 14 days prlor to your ap('IVc�I. This Is
<br />I'CQUIfE(I even If you plan to 8P1'IVC before G:00 p.m. If accommodations are not
<br />guaranteed 14 days in advance, the reservation W��� be canceled.
<br />❑ Please make my hotel reservation as Indicated below.
<br />❑ I do not require hotel accommodations at any of the hotels Ilsted below.
<br />❑ Please contact me regarding suite Information.
<br />Room Dates: Arrival Date: / � Departure Date: / /
<br />RoomType: ❑ Single (I personll bed) ❑ Smoktng
<br />❑ Double (2 peoplell bed) ❑ Non-Smoking
<br />❑ DoublelDouble (2 u80pIP%i beds)
<br />Sharing My Room With:
<br />SPECIAL HOUSING REQUEST (e.g., wheelchair accessible rooms, etc.):
<br />If you have special housing or transportation needs, please contact NLC 1Yieeting
<br />Servlces.
<br />HOTEL CHOICES:
<br />Indicate your �1'3t•CIlOICC hotel with the number"�". Number the other hotels F1'0�1
<br />"2"to"18"In orderofyourpreference.
<br />SGLfDBI
<br />� Wyndham $alt Lake C(ty $112/112
<br />,,,., Best Western Salt Lake Plaza $75/75
<br />_ Marriott Downtown $119/1'I�J
<br />_ Shllo Inn '�79/79
<br />,,, Hotel]i90118C0 $�25/�2�
<br />�,,, Marriott Ciry Center $115/115
<br />_ Hilton Salt Lake City Center $117/117
<br />r, Marriott Courtyard $90l90
<br />_, Hampton �IID Downtown �75/75
<br />,,, Crystal Inn Downtown $%5/7J
<br />SGUDBL
<br />,,,� $heraton City Center $j��J/j��J
<br />_ Llttle America �OUI'1S�(18�G�/��
<br />_ Llttle America Garden �� 70/I 10
<br />_ Llttle America Tower $118I11$
<br />_ Grand America Premier$130/130
<br />,,, Grand America CxecuGve$140/140
<br />_ Quality Inn $75/75
<br />T Embassy Sultes Hotel $115/ll5
<br />_ West Coast Ilotel $75/75
<br />HOTEL DEPOSIT INFORMATION
<br />All major credit cards are accepted at theC011fC1'CIlCO hotels. All checks, goverl1117C11t
<br />purchase orders. vouchers orC1811119 must be submitted to the hotel wlth con0i'ma-
<br />tlon number FOUR WEEKS prlor tD your c�l'PIV81, and 8Pe subject to hotel approval.
<br />�FGISTRATION FEE PAYMENT INFORMATION
<br />U Charge my REGISTRATION FEES t0 VISA or Mastercard listed below.
<br />U Check for REGISTRATION FEES made payable to Notional Lcague of Cities.
<br />U Purchase Order for REGISTRATION FEES • copy must be enclosed & payment
<br />must be received by NDI'CIIf�CI' 27, 2002.
<br />}jbTEL DEPOSIT PAYMENT INFORMATION
<br />�J Charge my HOTEL DEPOSIT �p the credit card listed below.
<br />�� Check for HOTEL DEPOSIT. Please submlt IA hotel address noted 011
<br />� Conflrmatlon FOUR WEEKS prior 1,0 your arPiv81 • subject � hotel approval.
<br />Purchase Order fOP HOTEL DEPOSIT. Please submit tA hotel address noted on
<br />conflrmatlon FOUR WEEKS prior to your arrival • subject to hotel eppl'OVc11.
<br />CREDIT CARD AUTHORIZATION
<br />NLC Meeting Services is authorized to use the card below t0 payall applicable
<br />registration fees and guarantee my�IOCE� reservation. 1 understand that one night's
<br />mom charge will be billed through this card ifl �81� 1A show up for my assigned
<br />housing 011the confirmed date unless I have canceled my reservation with the hotel
<br />at least 72 hours In advance.
<br />Nse/M�.stcr(:artl Number 13Xp. ���«�
<br />L'aiYl IlulAcr Namc
<br />f,ard Holder SlgnaWn. _
<br />ADDITIONAL CREDIT CARD AUTHORIZATION
<br />For hotel deposlt only if(�If�CfCilt than the CI'Cdlt card number listed above.
<br />GICtll6 CalYl Number I'sxp• Ualc
<br />f,8ttl Holder Nf1111C
<br />Canl Holder Sl�nawro
<br />RETURN CONFERENCE REGISTRATION AND HOUSING FORMTO:
<br />Fax: 7�3-631-�288 (Credit Card and Purchase Orders Only- No Checks)
<br />Mail: NLC Meeting Services. (✓0 J. Sp8Pg0 & ASSOCIaLCS, Inc.
<br />I 1212 W1UI0S Mill Road, Suite 104. Fairfax, VA 22030
<br />FOR MORE INFORMATION:
<br />Phone: 888-31 �J-38�4 0l' 703-449-6418
<br />Emau: niccocregistration@Jspargo.com o r niccochousing@jspargo.com
<br />ottkc use oniy: Hotcl Ratc _ 131�wk
<br />Paymcnl Check# Amoiml
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