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Home My WebLink About183594 03/23/2010 CITY OF CARMEL, INDIANA VENDOR: 358915 Page 1 of 1 ONE CIVIC SQUARE NLC MEETING SERVICES CARMEL, INDIANA 46032 11208 WAPLES MILL RD #112 CHECK AMOUNT: $385.00 FAIRFAXVA 22030 CHECK NUMBER: 183594 CHECK DATE: 3/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4357004 385.00 CORDRAY -NLC NLC Congress of Cities Conference Exposition Registration and Housing Form The Colorado Convention Center, Denver Colorado November 30` December 4 2010 For Office Use only. Payment Clseal! Amount No housing or registration will be processed without accompanying payment in full. Hotel Reservations: You must be registered for the Conference to reserve Are you a newly elected official? Size of City? hotel room. To guarantee your room, all hotels require one night's deposit .s s �y plus 14.85% tax (subject to change.) 30 days prior to your arrival. This is Name V' a ►ems. r Gender required even if you plan 1. arrive before 6:00PM. If accommodations are r Title r Y, not guaranteed 30 days in advanced the reservation will be cancelled. City/Organization Plea select one ofthe following: Mailing Address Jil Please make my hotel reservations as indicated below City St e q Zip O I do not require hotel accommodations at any of the hotels listed below Phone Fax Although I am providing information for a standard room now, please contact me regarding suite information. Email R nn Registrant's Email e' oom Dates: Arrival:,�d, Depart ure� 1 V Roam Type: SpouseJGoest Name' ($80 feel El Single, 1 person /1 bed Double, 2 people /1 bed Youth Delegate'• 115 -18, $100 feel Age Oouble /Double 2 people /2 beds Triple 3 people /2 beds off icials are encourag to re s ister y outh as active participants in rhii conference to contribute m l y outh ag enda. I the ❑Quad 4 peoplef2 hods "Local o ff 9 4 Y P R J Y 9 f youth delegate requires hotelaccommodorions separate from yours, attach thelt regrstratfon Jorm with your completed Jorm. Smoking Non Smoking Youth Chaperone Name ($100 feel Room types cannat be guaranteed but hotels will try to accommodate (Local Elected City Officials are not eligible for this rate.) r equests, 1014 Registration Rates Sharing my Room With (For Hotel Rate and Check in Purposes): Please select only one Registration Type (except Spouse Guest) Forms received after the listed deadlines will automatically be corrected 1. 2. S. to corresponding fee schedule. 'Congress of Cities'10 @Congress of Cities '09 price only valid at Congress 09, Special Housing Request (e.g., wheelchair accessible roams, etc.): '"Register for Congress of Cities 2010 while at Congressional Cities Conference and receive this discounted rate) If you have special housing or transportation needs, please contact NLC Meeting Services Congress of Cities 'Congress'10@ Congress '09 Early- Eerly']0'a Hotel Choice: Indicate your first- choice hotel with the number "1," Number Registration Type (FULL) Valid 11)Q9/09. 3/31/10 Valid 4/1- 6/15/10 the other hotels from "2" through "5" in order of preference. The Hyatt Regency Denver Hotel Is the headquarters hotel. Member $355 []S415 Order Hotel Smoking SGL Dar TRIP QUAD Associate Member ❑5385 D41.5 Order Denver No $201 $201 $221 $241 SML Member ❑$465 ❑$525 Marriott Non Member ❑$510 ❑$595 Grand No $204 5204 $224 $244 Hyatt First Time Member 0$375 ❑$375 Denver Student ❑5175 E]$175 HYatt No $209 $209 $229 $249 Regency Youth []$loo 0$100 Denver ❑$100 ❑$100 Sheraton No 5160 $160 $180 $200 Chaperone Denver cruse Guest ❑$80 ❑$e0 Westin No $205 $205 5225 $245 Enter Reg I.D. 0 in the A Tabor space provided if using Center an ap hcable rate Hotel Deposit Information! All Major credit cards with expiration of 11/10 or 2010 Constituency Group Special Event Fees later are accepted at the conference hotels. All checks must be submitted to the hotels after October 1, 2010 but before November 1, 2010 and are Due'/ Oected /Mom Ele.tedlNOn- 5uppmtlnq/ Nan- Member Lunrhenn Dues only Reception subject to approval. Please include your 6 digit REG 10 N indicated on the NLC AAivities bet City Member City Corporate orpote only Acsivi ty M embers Meeting services c onfirmation. $election Member Nonmembers Reg', tration Fee Payment Information APAMO ❑$g5 SsOO NA NA NA NA harge my REGISTRATION FEES to the VISA, MasterCard, or AMEX listed ❑$15a bet w !Cato NA NA NA NA NA ❑$55 NA Checkfor REGISTRATION FEES made payable to National League of Cities HELD NA NA NA Isenclosed ❑3110 ❑$140 ❑5155 ❑$75 Purchase Orderfor REGISTRATION FEES -Copy must he enclosed and NBC -LEO ❑5715 ❑1740 ❑$315 NA $85 NA NA payment must be received by November 12 2010 WIMG ❑$115' 1 145' E] ❑1s5• s NA Hotel Deposes Information Charge my HOTEL DEPOSIT to the credit card listed below All costs for WINKS are for Luncheon unless otherwise Stated Check for HOTEL OEPOSIT- Please submit to hotel address noted an confirmation after October 1, Z010 but before November 1, 2010. Leadership Training Institute Seminars credit card Authorization: NLC Regltutd -and Nausiog 5—lan it aathanred to us. the card below td pay all applicable registration fees end guarantee my hotel reservation. I understand that one night's room charge will be forfeiled It I fait to show up or my assigned LTf Sessions information and fees and will become available in JUNE, housing on the confirmed arrival date unless I have canceled my res—ituan with the hotel at least 72 hours in advance. I understand that d I do not show at the hotel on my confirmed r� ;yal dire, m rrser on, will par be r.instated for the ,emumll, of the stay unless P Y instrun the hotel to reinstate my reservation. Ael.,oined reservauans .re subject to the Total Your Registration Fees Here y haters availability. Further. I agree co the slated Registration Cancellation policy and understand that upon cancelling my r.gistr b— I will accut, a 75.00 —n—fundable P rocessing fee. Additionally land —hind chat no portion of the spouse -guest registration fee Registration Cancellation Policy: n refundable, All cancellation requests must be received in writing, postmarked by November 9, 2010, and are subject to a $75 cancellation fee. No Visa /Mastercard /AMEX Number Exp partial refunds will be made if you decide not to attend particular functions, No registrations or cancellations will be accepted by Card Holder Name telephone. No cancellations will be accepted after November 9, 7010- Spouse Guest fees are non- refundable. Card Holder Signature Additional Credit Card Authorization: For Hotel Deposit Only. Use ifdifferent from from credit card listed above: Return Conference forms to: Fax: 1703) 631 -6268 Visa /Mastercard /AMEX Number Exp Mail: NLC Meeting Services, C/O 1. Spargo and Associates 11208 Waples Mill Rd, Ste 112, Fairfax VA Card Holder Name QUESTIONSABOUT REGISTRATION, HOUSING, INVOICES? Card Holder Signature f -Mail: nluegandhousingPispareo.com Phone: 988- 319 -3864 or 703- 444 -6418 For Office Use Only: HTL SUBBLK�CATE_RATE_ Prescribed.by State Board of Accosts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee M el w� Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attache invoice(s) or bill(s)) Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO, WARRANT NO. ALLOWED 20 IN SUM OF rZo �lL a- VA 3M ),00 ON ACCOUNT OF APPROPRIATION FOR p 7 ps Board Members D or INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 Signature (5r Title Cost distribution ledger classification if claim paid motor vehicle highway fund