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using or registration unTl be processed v:ithout accompanying payment in full ou a newly elected official? Population? _ Name $ex Title City/Organization Mailing Address Crty_ Phone Fax _ Email State Zip Spouse/Paztner Name* ($25 fee) •Spouse/Partner not a&gibk for a separate hotel room Child Name (14 and under, no fee) Age Youth Delegate*'s (15-18, $75 fee) Age *"`Local officials are encouraged to register youth as active partiapants in this conference to con- tribute to NLC's youth agenda. If the youth delegate hotel accommodations separate from h h i d yours, attac t e reg stration form with your complete Youth Chaperone Name ($50 fee) Special Conference Rates Il $25 5pouse/Guest (non-refundable) $ GI $75 Youth Delegate $ Hl $75 Youth Chaperone (not applicable to elected o,~"iciais) $ Advance Relation Fees (Postinazked by ebrvary 7, 2003) $325 .First Time Attendee C2 $385 NLC/SML Member (Onsite rate is $435 after 2/7/03) $ D2 $385 Associate Member (Onsite rate is $435 after 2/7/03) $ $495 SML Member (Onsite rate is $555 offs 2/7/03) $ $585 Non-Member/Other (Onsite rate is $625 after 2/7/03) $ e~s~tron for Leadership Training Institute (Fri yda ,March 7, 2003) You must be re isdered for the conference in order to attend. LI $150 t L d hi I i a e- en ea ers p nst tute $ L2 $150 Effective Communication Strategies for a Culturally Constitu L3 $150 Becoming a Change Leader $ L4 $95 Building a High Performance Council $ L5 $95 Powerful People Skills for Eff~.tive Leadership $ L6 $95 Testifying With Impact $ Registration for Leadership Training Institute Seminars (Saturday, March $, 2003) You must be registered for the conference in order to attend L7 $150 The Call of Leadership $ L8 $95 Leadership in a Diverse Community $ L9 $95 Speak So They Will Listen $ L10 $95 Balancing Govanazrce and Representation oa City Covnals $ Ll l $30 Leadership Training Institute PParticipant & Rewgnition Luncheon $ L12 $95 Mastering Power, Politics and Influence $ L13 $95 If Aristotle Were Mayor: The New Soul of Governance $ L14 $95 Ten Habits of Highly Effective Governing Bodies $ Spetaal Events You must be registered for the conference in order to attend. AI $35 Sunday Celebrate Diversity Breakfast (Onsite rate is $50 after 2/7/03) $ Constituency Group Dues and Events You must be regrstered for the conference in order to attend Bl $25 APAMO Activity Fee $ Cl $2S GLBLO Activity Fee $ Dl $40 HELD Activity Fee $ $45 NBC-LEO Reception $ $50 WIMG Luncheon $ Registration Fee: $ Registration Cancellation Policy: All requests must be received in writing, postmarked by February 7, 2003, and are subject to a $50 cancellation fee. No partial refunds will be made if you decide not to attend particular functions. No registrations or cancellations vriU be accepted by telephone. No cancellations will be accepted after February 7, 2003. n}Firn veo rvntn. Pmrmon} (:h<r43! Amnnn} Hotel Reservations: . You must be registered to reserve a hotel room. To guarantee your room, all hotels require one night's deposit plus tax, per room 14 days prior to your arrival. This is required even if you plan to amve before 6:00 p.m. If accommodations are not guaranteed 14 days m advance, the reservation will be canceled ^ Please make my hotel reservation as indicated below ^ I do not require hotel accommodations at any of the hotels listed below ^ Please contact me regarding suite information. Room Dates: Arrival Date: _/_/_ Depamue Date: _/_/_ Room Type: D Singlee (2pason/1 b~)) ^^ S ~1~ ~ ^ Double/Double (2 people/2 beds) Sharing My Room With: IStpe~'al Housing Request (e.~., u+heekhair accessible rooms, etc.): you have speaal housing or transportatron needs, please contact NLC Meeting Services. Hotel Choices: Hotel Choices: Indicate your first-choice hotel with the number "1' . Number the other hotels from " 2" to "13" in order of your preference. Sgl/Dbl SgUDbI _ Capitol Hilton $179/199 _ Omni Shoreham $182/182 _ Churchill Hotel $169/189 _ Radisson Bazcelo $146/146 _ Courtyard by Marriott $156/156 _ Renaissance Mayflower $200/200 _ Hilton Wash Embassy Row $173/173 _ St. Gregory Hotel $175/175 _ Jurys Normandy Inn $149/149 _ Hilton Washington $177/199 _ Jurys Washington Hotel $166/166 _ and Towers (Club Level) $270/290 Hotel DCpOS1t Information: All major aed"it cazds with expiration date of 03/03 or later are aaepted at the conference hotels. All checks, government purchase orders, vouchers or claims must be submitted to the hotel with wnfirmation number FOUR WEEKS prior to your arrival, and are subject to hotel approval. R tron Fee Payment Information ^e~ my REGISTRATION FEES to VISA or MasterCard listed below ^ Check for REGISTRATION FEES made payable to National League of Cities ^ Purchase order for REGISTRATIONFEES - cnpy must be enclosed & payment must be received by Mazch 3, 2003. Hotel Deposit Payment Information ^ Charge my HOTEL DEPOSIT to the alit card listed below ^ Check for HOTEL DEPOSIT - please submit to hotel address noted on confirmation FOUR WEEKS prior to your amval - subject to hotel approval ^ Purchase Order for HOTEL DEPOSIT -submit to hotel address noted on confirmation FOUR WEEKS prior to your arrival - subject to hotel approval Credit Card Authorization: NLC Meeting Services is authorized to use the card below to pay all applicable registration fees and guarantee my hotel reservation. I understand that one night's room chazge will be billed through this card if I fail to show up for my assigned housing on the confirmed date unless I have canceled my reservation with the hotel at least 72 hours in advance. Visa/MasterCardNucober Exp. Date Cazd Holder Name Card Holder Signature Additional Credit Card Authorization: For hotel deposit only if different than the aedit card number listed above. (Expiration date must be 03/03 or later, per hotel requirement.) Credit Card Number ~ ~~ Cazd Holder Name Cazd Holder Signature Return Conference Registration and Housing Form to: Fax: 703-631-6288 (Credit Card and Purchase Orders Only - No Checks) Masi: NLC Meeting services, c/n J. spargo & Associates, Ins. 11212 Waples Mill Road, Suite 104, Fairfax, VA 22030 For more information: Phone: 1-888-319-3864 or 703-449-6418 Email; nlccccregistration(t~jspargo.com or nlcccchousingQjspazgo.com Office use only: Hotel Subblk Cate Rate