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CITY OF CARMEL, INDIANA VENDOR: 363643 CHECK AMOUNT: $ .....200.00"
ONE CIVIC SQUARE I A A T I
CARMEL, INDIANA 46032 PO Box 223 CHECK NUMBER: 311381
CLINTON NY 13323-0223 CHECK DATE: 05/17/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
ANNUAL CONFERENCE
210 4357000 100403 051117 200.00
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2017 Annual NCRC/IAATI
Training Seminar Registration
Form
May 1st through May 4th, 2017
Registration: Monday, May 1St,7:00am—12:00pm.
Tuesday, May 2"d,7:00am—12:00pm.
Opening ceremonies start promptly at 8:30 AM on Tuesday, May 2nd.
Agency: f�� /YIfQ�, Title:
First Name: /Q✓i S Tei Last Name: / A a
Address: �� t/ < C kcy, Cityrrown: C' Qme�
State/Province: -�I11' Zip: " 006 Country:
Phone: 9-571 -a�Z7y Email:
IAATI Member6es No IAATI Member#
Registration Fee Enclosed: DO. 0 0 $200 member/$245 non-member
This fee includes the Presidents Reception with light hors d'oeuvres on Monday evening and Banquet Dinner on Wednesday evening.
There will be a free tour of the Indianapolis 500 track for those interested on Monday, May 1St from 1-4 pm. Bus
transportation will be provided. Busses load at 12:30 pm and will return by 4:30 pm in time for the Presidents
Reception. Will attend tour Will not attend tour-
Send
ourSend registration form with check to: For Credit Card Payments please contact
NCRC/IAATI Cheryl Zofkie at:
P.O. Box 908 Work (847) 544-7117
Oak Forest, IL 60452 Cell (708)334-6497
Payment can be made by check, credit card or money order(U.S.funds) Payable to: NCRC/IAATI Seminar
Registration questions directed to Cheryl Zofkie at czofkie[cD-nicb.org, ph. 847-5447117,fax 847-544-7104
General Questions directed to: Barb Rambo at bramboCaD-nicb.org, ph. 708-243-6165
You must make your own hotel reservations. Hotel cutoff is April 15, 2017
Hotel Information: When making reservations, please be sure to
Embassy Suites by Hilton Indianapolis North ask for: IAATI/NCRC Auto Theft Conference
3912 Vincennes Road, Indianapolis, Indiana 46268 USA Special NCRC/IAATI Rate$109.00/Night
www.embassysuites.com (Complimentary Breakfast and Evening
1-800-EMBASSY or 1-317-872-7700 for reservations Manager Reception included)