HomeMy WebLinkAbout185808 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 00351616 Page 1 of 1
ONE CIVIC SQUARE 1NT SOCIETY OF ARBORCULTURE
CARMEL, INDIANA 46032 PO BOX 3129 CHECK AMOUNT: $415.00
CHAMPAIGN IL 61826 -3129
CHECK NUMBER: 185808
CHECK DATE: 5/26/2010
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO UNT DESCRIPTION
2201 4357004 415.00 EXTERNAL INSTRUCT FEE
4
IS iJ TH Register on or before July 8 to receive the early registration rate, The deadline for pre conference
p� A�T registration is July 8. After July 8, you must register on -site, which begins Friday, July 23.
t11VNUt� L
I ERNATIONAL Registration Confirmation Cancellation Policy Send Completed Form's To:
CO FAIENCE A registration confirmation A processing fee of $100 1 will be e- mailed approximate- will be charged for all cancel- MAIL.ISA Registration
ly 7 days after the registration latians received on or before P.O Box 3129
TRADE SHOW form and payment have been July 8, 2010. Refunds are not Champaign, IL 61826 3129
CHICAGO, IItwoIS i JULY 23.26, 2010 received. available after July 8, 2010. FAX: +1'- 217- 531 -2824:
A separate form must he completed for each individual attending.
Last Name k First Name d 2
Preferred FIRST Name for Badge ISA Membership Number.* P
Company/ Organization iii 1 Y L(NC tIC\
Address 7NO F�E7'
City c A State Province
4
Zip Postal Code �0 �J Country V-\
Daytime Phon 1 t�'_� Fax
E -mail t C� u (Your confirmation will be sent to this e -mail address.)
I'll IN P,41
Your ISA Membership number is NOT the same as your ISA Certification
number. Membership numbers are all numbers. Certification numbers include
letters and numbers. Registration discounts are for ISA members only. Includes Sunday Opening Ceremony and Welcome Reception (on Trade Show
Are you currently ISA certified? Yes No Floor), Monday— Wednesday educational sessions, and Monday Tuesday
Trade Show. Tickets for additional events may be purchased on the next page.
No transportation is included.
ISA Certification number 1 yy
Member Non Member
IMPORTANT: To help ISA better understand your educational needs, please IV On or before July 8 5395 On or before July 8 $495
check the appropriate boxes. On -site $495 On -site $595
Which best describes your primary business? Student $75 (Must be a full -time student and show
Tree Care Co. /Landscape Contractor (J Utility Contractor valid student ID at time of registration)
Government Entity Q Utility Company 3
Part 2 Total
Consultant Extension
Manufacturer/ Distributor Research/ Education
Other
Which best describes your primary responsibility? Access to educational sessions and Trade Show on specified day(s). Tickets for ad-
ditional events may be purchased on the next page. No transportation is included.
Owner/ Senior Management Crew Supervisor
Instructor AGeneral Foreman/ ONE -DAY TWO -DAY
Sales/ Consultant Area Supervisor
Member Member
Other On or before July 8 $150 On or before July 8 $275
Number of tree care employees within your company /organization. On -site $225 On -site $350
N/A 1 -5 Pi-25 26 -100 101+ Non Member Non Member
On or before July 8 $200 On or before July 8 $375.
;Please DO NOT send my information to commercial vendors. On -site $275 On -site $450
Please check here if you have special that may affect your partici- Please select the day(s) you wish to register for:
pation (an ISA representative will contact you to discuss your request). Monday Tuesday Wednesday
Special Dietary Request. Please specify: TRADE SHOW ONLY $35 Includes access to Trade Show floor during all
show hours. Not valid for educational sessions.
r OFFICE USE ONLY
Date Recd Check# Check Total Date Entered Entered By
Part 3 Total
1 81 ;3 F 0 Workshop registration is subject to capacity limits.
FRIDAY, JULY 23 UP R V ROOTS SATURDAY, JULY 24 SATURDAY, JULY 24 SUNDAY, JULY 25
8:30 a.m. -5:00 p.m. 9:00 a.m.-12 noon 1:00 p.m. -4:00 p.m. 9:00 a.m. -12 noon
Up By Roots (Includes Book) Up By Roots (No Book) Workshops (Choose One) Workshops (Choose One) Workshops (Choose One)
$245 Member $185 Member $75 Diagnostic Skills $75 21 Diagnostic Questions $75 Morton Tree ID Tour
$265 Non- Member $195 Non- Member $75 Wood Fungi ID $75 Tomography /Resistance $75 Tree Decay Detection
S110 Student $50 Student $75 Applied Tree Inventory $75 i -Tree 3.0 Workshop $75 Intro to Arb Consulting
All Tree Academy sessions will be held at the Morton Arboretum in Lisle, IL. Attendees are responsible for their
own transportation. Visit avwwJsa- arbor.com /conference for additional workshop details. Please selectthe day Part 4 Total
and session you wish to attend. Make sure you check only one workshop for each time period.
1i Does not include any transportation.
NEW m 2010! A Spouse /Guest package includes the $35 Guest's Name: Age
Opening Ceremony, Welcome Reception, and Trade Show
access during all show hours. $35 Guest's Name: Age
A name badge will be required for all of these activities, so
please include the names) of all guests you wish to bring to $0 Child's Name: Age
Conference activities. Children 12 and under may participate
in these activities at no charge but will still be required to *Guest age is only necessary with
wear a name badge for admission. children under 12 years old. Part 5 Total
Transportation is NOT included in any other package. Registration will
o 0 not be open to purchase tickets on -site pre reg istration required.
Morton Arboretum Transportation Pass (Will be good for $25 Saturday First/Last Name:
Sat. and /or Sun. transportation and admission to Morton only pass
Arboretum, ITCC, and Saturday Arbor Fair) First and last name x Qty First/Last Name:
for each pass is needed, including it purchasing for attendee. $25 Sunday
SATURDAY, JULY 24 SUNDAY, JULY 25 only pass First/Last Name:
x Qty.
Departs at 7:00 a.m. and Departs at 7:00 a.m. and $40 Sat. First/Last Name:
leaves Morton at 4:30 p.m. leaves Morton at 2:30 p.m. Sun. pass
Departs from and returns to the Sheraton Chicago Hotel Towers x (Ity. Part 6 Total
Enter the number of tickets on the blank line. If ordering after July 8th,
tickets must be bought on -site for an additional fee.
SUNDAY, JULY 25 MONDAY, JULY 26 TUESDAY, JULY 27 WEDNESDAY, JULY 28
Tree Fund 0. Tree Fund Auction Women in Arboriculture SCA Educational Tour UAA Commonwealth
Golf Outing and Reception Breakfast Lunch Edison's Lake County Tour
_qty. x$175= qty. xS20= gty.x$25= T qty. x$40= _qty. x$25=
+Rg,,tration on -sire is $25. Registration on -site is $35. Registration on -site is $45. Registration on -site is 5335.
Visit w_w_ w freetuud,org for more information on these events.
UAA Luncheon SMA Walking Tour Lunch AREA Luncheon
Part 7Total$
qty. x$50= qty. x$30- qty. x$20=
Registration on -site is 555. Registration on -site is $35. Registration on -site is $30.
Questions? Please visit w ww.is a- itrb send an e-mail to
c,aference a rhor.com, or call +1- 217 -355 -9411
Check Enclosed, payable in U.S. funds, to ISA Registration �j
Credit Card: Please charge my C1 Visa C3 Am Ex El MasterCard Part 2 Total J 7 p� Part 5 Total
(your card will be charged at time registration form is received and processed.)
Past 3 Total Part 6 Total S
Card Number Exp. Date
Part 4 Total Part 7 Total
Name as it appears on card
agree to pay for the total amount (at right)
Signature according to the card issuer's agreement. Total Amount
VOUCHER NO. WARRANT NO.
ALLOWED 20
ISA Registration
IN SUM OF
P. O. Box 3129
Champaign, IL 61826 -3129
$415.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board MemberE
2201 43- 570.04 $415.00 1 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
tT urs'a y, May 20, 2010
ALL";
s
Street Commissioner
Street
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/13/10 $415.00
1 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