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BOOK FA.uL 9 2Z <br />REGISTRATION FEES: Earlybird Advance <br />SGL <br />Check baa: that applies postmarked postmarked after <br />AFFE IATE INFORMATION — Check box that applies <br />i by 1120 1d0 & ON-SITE <br />0 NACRC O NACCA ' O NCECE D NACHFA <br />Member county attendee 0$275 U$325 <br />O NACP O NACTFO O NACE O WIR <br />Non-member county attendee O 325 O 375 <br />O NACHO 0 WON O NACTEP 0 NCCAE <br />Other government attendee O 300 O 350 <br />O NACA O NACHSA 0 NABCO ; 0 NACAP <br />Other private sector 0 350 0 400 <br />0 NACITA 0 NACCED D NACIO 0 ICMA <br />Spouse 0 50 O 75 <br />O NACPRO O NACIRO 0 NAGS 0 NACMHD <br />Youth O 30 O 50 <br />IN — Rids Carlton <br />146 <br />POLITICAL AFFILIATION <br />TOTAL $ • $ <br />O Republican O Democrat, O Independent <br />Spouse Full Name <br />Youth Full Name(s) <br />PAYMENT METHOD: Select one 0 CHECK O VISA/MASTERCARD O P.O. or VOUCHER O MONEY ORDER <br />CREDIT CARD INFORMATION: Select one O VISA <br />0 MasterCard <br />CardNumber <br />Exp Date: <br />Cardholder's Name: <br />Signature: <br />PAYMENT POLICY— Caderence registration fee MlWawmwanythis form and must be received before o registration can be proeeme I Send a dick voucher, county purchase ads made <br />payable to the National Association ofCoundes. Puuclmme order only will hold registration, <br />Purchase order most be paid betae tegisming for conference, badge will be issued. <br />CANCELLATION POLICY — Ref ad d conferata regi, , r fee, len an administrative fee of $50, (or U1 of Biro m/youdh feel will be made if written notice of cur f nate regisradon <br />Radom is posted no later than February 3,1995. C webtion regaau paatnawI February 3 or h teti wig be subject to an administrative fee equal to ate half tithe registration fee. <br />NOTE ALL REGISTRATION FORMS POSTMARKED AFTER FET. 3,1995 WILL BE PROCESSED AT THE ON-SITE REGISTRATION DESK. <br />HOTEL RESERVATION <br />HOUSING REGISTRATION - Housing reservations must be made by completing this form. AM <br />Room Reservation Name Arrival Date �_/ AM <br />RoommateName Departure Data _J _J PM <br />Do you have a special lousing requesti Suites! <br />Please describe any special dinbility or handicap needs! <br />PLEASE CHEIM YOUR DESIRED HOTEL <br />bdicate first choice with 1. That nnmdxrotherchoices Uma t w6 is the oder d prefaetce. if firstchoice is aavailable, reservation wig be made at the next available hotel according to your <br />ranking. Each reservation requites a arc -nights deposit. <br />HOTEL <br />SGL <br />DBL HOTS. <br />SOI. <br />DBL <br />— Hilton (IW Standard <br />$109 <br />$119 — Wa6ingrom Sditd <br />1115 <br />$145 <br />— Hilton • Maher= <br />129 <br />149 —Courtyard Marriott <br />110 <br />110 <br />— Hilton •Debate <br />149 <br />IN — Rids Carlton <br />146 <br />146 <br />flurfB1V0mThea:UmAmkeMreB0N10Awehew oIisMown" M$hlaFer�aftm(6wa dw. <br />Please check One of the following:' I person, I bed 2 persons, I bed 2 persons, 2 beds <br />HOUSING DEPOSIT — Your mom reservation can be guaranteed by either of the following methods: <br />L Compete Credit Card Authorisation beim This is fast and roan will fie reserved and teed <br />Office Use Only <br />Dare Need. <br />Ched I* <br />Amt. ddw* <br />Tad <br />Dace entered <br />• easy; your gaarmt <br />L Sed no payment now. We will reserve your farm and send you an admtowkdgement dyour roan teservatbrt that will' you to pay the hotel directly in order to guarantee your <br />room. You room will an be gmmtteed until the hotel real vm your payment. <br />NOTES The NACw Coafeeeeoe Registration Comm winaend you an aclmowledgematt within two wee6 dre5eipt dthis Umm.The had will slam send van an ac:l= wedgement after your <br />credit coed is confirmed or psymtntt is recon+red. Do not send paymerto to hood reservations to NACo Registration; send them to the hard indicated on your admowledgement. <br />CREDIT CARD AUTHORIZATION O MasterCard O Visa O American Express <br />Card Number Exp. Date_ f. <br />Cardholdees Name <br />The NACo Housing Center is authorized to tie do above aced to guarnrta my hard reservation. I mdersterdd that we night's warn charge will be biped through this card If I U31 to arrive <br />in my assigned housing at the o summed date, or d I deport earlier des 1 have can8mwed, orders 1 have canceled my reservation, with the bolel at least 48 hours in advarm <br />ON MOTION by Commissioner Macht, SECONDED by <br />Commissioner Bird, the Board unanimously (4-0, <br />Commissioner Eggert absent) resolved not to <br />send representation to the 1995 NACo <br />Legislative Conference. <br />4 <br />December 13, 1994 <br />