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O ONE CIVIC SQUARE JOHN THOMAS CHECK AMOUNT: $ .....325.00"
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CARMEL, INDIANA 46032 11576 CARMELRNEKSIDE LANE CHECK NUMBER: 315794
roN CHECK DATE: 09/06/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4355300 12406628 40.00 ORGANIZATION & MEMBER
250 4350900 12406675 285.00 OTHER CONT SERVICES
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Thomas, John G
From: inafsm@memberclicks-mail.net on behalf of Indiana Association for Floodplain and
Stormwater Management <inafsm@memberclicks-mail.net>
Sent: Thursday,August 24, 2017 11:46 AM
To: Thomas,John G
Subject: 2017 Annual Conference and Sponsorship Form Submitted
plain anct
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INAFSM
VISO",
Registrant Information Payment Information
-1
JF�XNIIIFPRohn Thomas - IA
City of Carmel Date: 08/24/201711:45:35 u
ithomascarmel.in.gov Total Payment Amount: $285.00 .;
Payment Method:Credit Card .
Confirmation#: 12406675
Credit Card Type Visa
Card Number 9466
Registration Options
Transaction#3755744584 .I
2017-2018 Membership Dues: (If renewed on
this form, membership expires Aug. 31, 2018
) Notice to Exhibitor Sponsors:
Sponsorship: No Sponsorship at this time. If you require electricity at your booth, you will
need to contact the Century Center directly
through a form that will be linked in your
conference registration email confirmation.
Registration: Full Registration -$285.00
Additional Complimentary Sponsor
Registrants(s): CLICK HERE to view the form in another window
without leaving your registration confirmations
Headwater Additional Registration: F ._
Basin,Watershed or River Additional
Ad Specs for Program Advertisements-
1
Registration: ADS DUE JULY 7, 2017
Optional Sponsorships: Booth Selection and Setup
Guest Meal Package:
Complete Meal Guest Package(How
' w many?0 H Guest Name(s):
Wednesday Evening Meal ONLY: � �;
gqos a
(How many?0 //Guest Name(s): I
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Thursday Picnic Dinner ONLY:
(How many?0 // Guest Name(s): `
Thank you for registering for the 21 st Annual INAFSM Conference at the Century Center, located at
120 S St Joseph St, South Bend, IN 46601.We can't wait to see you there!
If you have questions about your registration, please contact Karen Avery, INAFSM Executive
Director, at kavery()inafsm.net or(317)829-3656.
HOTEL ACCOMMODATIONS
z
Click here to book your room online or for more details about the room block.
Hotel rooms must be booked by August 6 to receive block discount.
a Group Name: Indiana Association for Floodplain and Stormwater Management
r
Group Code: IFS
¢ Block Opens: 05-SEP-2017
Block Closes: 08-SEP-2017
Hotel Name: DoubleTree by Hilton Hotel South Bend
Hotel Address: 123 N. Dr. Martin Luther King Jr. Blvd
# ri South Bend, Indiana >:
p 46601
Phone Number: 574-234-2000 a .
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CONFERENCE FIELD TRIPS:
We have planned several fun and educational field trips for both Wednesday and Friday. Space is
limited so we are requiring a separate registration for those tours. Click here for details.
mom_
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IMPORTANT SPONSOR DEADLINE: If you are a sponsor your sponsorship includes logo
recognition, be sure to send high resolution logo to Karen Avery at kavery()-inafsm.net no later than
August 1, 2017.
Click here for specs for exhibitor advertisement placement.
r
3
Be sure to save your confirmation page and/or email as proof of your attendance, especially if
you will be tracking continuing education credits or professional development hours. ,n
Disclaimer: INAFSM cannot be held liable for saving registrant confirmations. Registrants are
responsible for saving confirmation receipts as proof of their conference registration.
REFUND POLICY:
f�7 INAFSM must receive WRITTEN NOTICE of conference registration cancellation by August 9,
2017 to receive a refund minus a$25 processing fee.After August 9, 2017 refunds will not be
`. available and full payment must still be made to INAFSM for cancellations and registered no-
shows.
In Association for Floodplain and Stormwater Management
101 West Ohio St., Ste. 1575
r Indianapolis, IN 46204
317-829-3656
Privacyicy
Email secured by Check Point
4
Thomas, John G
From: inafsm@memberclicks-mail.net on behalf of Indiana Association for Floodplain and
Stormwater Management <inafsm@memberclicks-mail.net>
Sent: Thursday,August 24, 2017 11:27 AM
To: Thomas,John G
Subject: Membership Dues Renewal Form Submitted
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2200 — y35s300 F
le
INAFSM
a Member Information Payment Information
MN
Date: 08/24/2017 11:27:18
John Thomas `
` Transaction ID 3755722235 hs
City of Carmel
Total Payment Amount. $40.00
Work Payment Method:Credit Card a ;¢
One Civic Square Credit Card Type Visa
Carmel, Indiana 46032 Last Four Digits of Credit Card 7799
Membership Expiration Date:08/31/2017
Username:jthomas(c�carmel.in.gov
Password:
Form Confirmation#: 12406628
Thank you for joining or renewing your membership with Indiana Association for Floodplain and
Stormwater Management! Click here to log in and start enjoy your membership benefits!
IMPORTANT NOTE: INAFSM memberships are for individuals and are not transferable. If you
1
change jobs, be sure to update your email so that you continue receiving important INAFSM
members'only notices.
Indiana Association for Floodplain and Stormwater Management
101 West Ohio St., Ste. 1575
Indianapolis, IN 46204
317-829-3656
Privacy Policy
Email secured by Check Point
2