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Home My WebLink About163317 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 00351245 Page 1 of 1 ONE CIVIC SQUARE N L C REGISTRATION HOUSING SVS CHECK AMOUNT: $115.00 CARMEL, INDIANA 46032 C/O J SPARGO ASSOC INC 11208 WAPLES MILL ROAD SUITE 112 CHECK NUMBER: 163317 FAIRFAX VA 22030 CHECK DATE: 9/3/2008 _Q EPARTMENT ACCOU PO NUMBER INV NUMBER AMOUNT DESCRIPTION 1701 4357004 115.00 CORDRAY REGISTRATION ri TEA NLC Congress of Cities Conference Registration and Housing Form 85` Congress of Cities Exposition November 11 —15, 2008 Orlando World Center Marriott Resort Convention Center, Orlando, FL For Paster Registration and Housing Reservation Register Online at http:Ilytafv+.rlc.org No housing orregistration will be processed without accompanying payment in full. Hotel Reservations: You must be registered for the Conference to reserve a hotel room. To guarantee Are you a newly elected official? Size of city? your room, all hotels require one night's deposit plus 12.5% tax plus (subject to change), 30 days prior to your arrival. This is required even if you plan to arrive before 6:00 p.m. If accommodations are not Name D 1 4 0 r rw Gender guaranteed 30 days in advance, the reservation will be canceled. Title La Please make my hotel reservation as indicated below. I do not require hotel accommodations at any of the hotels listed below. City/Organization Although I am providing information for a standard room for now please contact me Mailing Address v regarding suite information. City State Zip Room Dates: Arrival Dale: _I_I_ Departure Date: Phone Fax Room Type: is Single (1 person/1 bed) L Smoking Email LJ Double (2 people /1 bed) L] Non Smoking Registrant's Email W d i a L] Double /Double (2 people /2 beds) Room types cannot be guaranteed but Hotels will attempt to accommodate all requests. Special Conference Rates Sharing My Room With (for Hotel Check In Purposes): SG S60 Spouse /Guest (non refundable) 5 $375 First -Time Attendee Special Housing Request (e.g., wheelchair accessible rooms, etc.): 1 $100 Youth Delegate If you have special housing or transportation needs, please contact NLC Registration and Housing 8 5100 Youth Chaperone (not applicable to elected officials) Center. Note: all Marriott and Starwood properties are now 100% smoke -free properties. Non smoking 22 $175 Students Q and smoking properties are indicated in the list of hotels below. Advance Regular /On -Site Hotel Choices: Indicate your first- choice hotel with the riumber "1 Number the other hotels from "2" to Registration Fees: 1 NLC Member City Advance $525 "8" in order of preference. Orlando World Center Marriott is the headquarter hotel and where the Y conference will lake place. 2 Associate Member $500 $525 3 SML Member City $610 $655 Smoking NLC NLC Rate Breakfast 4 Non Member /Other $735 $775 Order Hotel Property? Shuttle? Single /Double Included? Orlando World Center Marriott No NIA $205/$205 No To be eligible for the Advance Fee registration must be postmarked by September 29, 2008. To avoid Buena Vista Suites Yes Yes $155/$155 No onsite registration lines in Orlando registrations must be received by November 03, 2008, Visit Caribe Royale Std Room Yes Yes S1851$185 No www.nlc.ory andregisteronline. Caribe Royale –King Deluxe Yes Yes $205IS205 No Courtyard at Marriott Village No Yes $1441$144 No Fairfield Inn at Marriott Village No Yes $1301$130 Yes Registration for Leadership Training Institute Seminars (Nov. 11 and Nov. 12, 2008) Hilton in the Walt Disney Resort Yes Yes $1996199 No To REGISTER, codes and fees are listed beside the Leadership Training Institute title in the brochure and Springhill at Marriott Village No Yes $144/$144 Yes on the website. You must be registered for the conference in order to attend. Tuesday, November 11 Full -Day Seminar Code,- Tuesday, November 11 Morning Seminar Code: �4 V R ot Tuesday, November 11 Afternoon Seminar Code: Registration Fee Payment Information Wednesday, November 12 Full Day Seminar Code: LJ Charge my REGISTRATION FEES to VISA, MasterCard or AmEx listed below a Check for REGISTRATION FEES made able to National League of Cities Wednesday, November 12 Morning Seminar Code: Ll payable g Wednesday, November 12 Afternoon Seminar Code: L] Purchase Order for REGISTRATION FEES -copy must be enclosed payment must be received by October 03, 2008. LTI Participant Recognition Luncheon $40 Code: Hotel Deposit Payment Information (you must check one): La Charge my HOTEL DEPOSIT to the credit card listed below. All major credit cards with expiration date of 11/08 or later are accepted by the NLC official hotels. Constituency Group 2009 Combined Dues and Special Event Fees L] Check for HOTEL DEPOSIT. I understand check deposits for hotel room guarantee is payable to the You must be registered for the conference in order to attend. hotel slated on the NLC confirmation and must be mailed after August 15, 2008 and before At $75 APAMO Dues /Activities (elected /member city) September 15, 2008. If a check is not received by the assigned hotel by September 15, 2008, 1 A2 $90 APAMO Dues /Activities (elected /nonmember city) understand my room may be subject to cancellation. A3 $135 APAMO Dues Activities (supporting /corporate member) G1 $45 GLBLO Dues Credit Card Authorization: NLC Registration and Housing Services is authorized to use the card below H1 $120 HELD Dues /Activities (elected /member city) to pay all applicable registration fees and guarantee my hotel reservation. I understand that one night's H2 $130 HELD Dues /Aciivities (elected /nonmember city) room charge will be forfeited if I fail to show up for my assigned housing on the confirmed arrival date H3 $145 HELD Dues /Activities (supporting /corporate member) unless I have canceled my reservation with the hotel at least 72 hours in advance. I understand that if I do H4 $65 HELD Activity Fee (nonmember only) not show at the hotel on my confirmed arrival date, my reservation will not be reinstated for remainder of N1 $205 NBC -LEO Dues /Activities (elected /member city) the stay unless I instruct the hotel to reinstate my reservation. Reinstated reservations are subject to N2 ,$230 NBC -LEO Dues /Activities (elected /nonmember city) hotel's availability. N3 $305 NBC -LEO Dues /Activities (supporting member) Visa /MasterCard /AmEx Number Exp. Date_ N4 $80 NBC -LEO Membership Luncheon Event (nonmember only) Card Holder Name Wt $110 WIMG Dues /Leadership Award Lunch Card Holder Signature (elected /member city) W2 $120 WIMG Dues /Leadership Award Lunch Additional Credit Card Authorization: For hotel deposit only if different than the credit card number (elected /nonmember city) listed above. (Expiration date must be 11108 or later, per hotel requirement.) W3 $135 WIMG Dues /Leadership Award Lunch (supporting member) Credit Card Number Exp. Date_ W4 $55 WIMG Leadership Award Lunch (nonmember only) Card Holder Name W5 $45 WIMG Reception (members and nonmembers) Card Holder Signature TOTAL REGISTRATION FEE: "`Make a copy of this form for your records Registration Cancellation Policy: All requests must be received in writing, postmarked by October 20, 2008 and are subject to a $75 Return Conference Registration and Housing Form to: cancellation fee. No partial refunds will be made if you decide not to attend particular functions. No Fax: 703 -631 -6288 (Credit Card and Purchase Orders Only –No Checks) registrations or cancellations will be accepted by telephone. No cancellations will be accepted after Mail: NLC Registration Housing Services, c/o J. Spargo Associates, Inc. October 20, 2008 11208 Waples Mill Road, Suite 112, Fairfax, VA 22030 For More Information: Telephone: 888-319-3864 or 703 449 -6418 E -mail: nlcreaand'nousing(o)ispargo.com For Office Use Only: Payment Check Amount For Office Use Only: Htl_ Subblk_ Cate_ Rate_ F Described by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER r 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)) 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 f� IN SUM OF 1 �J 11 VA �aL>5b ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. 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 &-,Aa Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund