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Home My WebLink About167404 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00351245 Page 1 of 1 ONE CIVIC SQUARE N L C REGISTRATION HOUSING SVS CARMEL, INDIANA 46032 C/O J SPARGO ASSOC INC CHECK AMOUNT: $365.00 11208 WAPLES MILL ROAD SUITE 112 CHECK NUMBER: 167404 FAIRFAX VA 22030 CHECK DATE: 12/2312008 DEPARTMENT ACCOUNT PO NUMBER INVOI NUM AMO DESCRIPTION 1701 4357004 365.00 EXTERNAL INSTRUCT FEE k i I s a E t 7 NLC Congress of Cities Conference 8r Exposition Registration and Housing Form Henry B. Gonzales Convention Center, San Antonio, Texas November 10 -14, 2009 Y No housing or registration will be processed without accompanying payment in full. Hotel Reservations: You must be registered for the Conference to reserve a hotel room. To guarantee your room, all hotels require one night's deposit plus 16.75% tax (subject to change), 30 days prior to CDC '08 CONFERENCE ID# your arrival. //his is required even if you plan to arrive before 6:00 p.m. If accommodations are not U I L G am! g uarantee/ 30 days in advance, the reservation will be canceled. Are you a newly elected official? Size Of City? 6D Please make my hotel reservation as indicated below. i Name Y' Gende Ll I do not require hotel accommodations at any of the hotels listed below. tl L] Although I am providing information for a standard room now, please contact me regarding Title J t. (4 e cy Tires 'U rc suite information. City /Organization (1(4 t Room Dates: Arrival Date: klLo q Departure Date: Mailing Add r s Room Type: ogle (1 personll bed) L] i 6moking �j'ty L rn�l State Zip l Double (2 people /1 bed) Non- Smoking Double /Double (2 people /2 beds) L Triple (3 people /2 beds) S� 1 -a y� Q y �b Phone Fax Quad (4 people /2 beds) Email r�'1 Ni �U` nom+ In r /�Il Room types cannot be guaranteed but Hotels will allempt to accommodate all requests. Registrant's Email .�✓q\ Sharing My Room With (for Hotel Rate and Check In Purposes): Spouse /Guest Name* ($60 fee) 1) 2) 3) *Spouse /Guest not eligible for a separate hotel room. Fee is NONREFUNDABLE. Special Housing Request (e.g., wheelchair accessible rooms, etc.): Child Name (14 and under, no fee) Age_ If you have special housing or transportation needs, please contact NLC Meeting Services, Youth Delegate (15 -18, $100 fee) Age_ Hotel Choices: Indicate your first- choice hotel with the number "1 Number the other hotels from "2' to *Local officials are encouraged to register youth as active participants in this conference to In order of preference. Grand Hyatt San Antonio is the headquarters hotel. contribute to NLC's youth agenda. If the youth delegate requires hotel accommodations Smoking NLC Rate Breakfast separate from yours, attach their registration form with your completed form. Order Hotel Property? Sgl /Dbi/Trip /Quad Included? Youth Chaperone Name ($100 fee) Grand Hyatt No $224/$224/$249/$249 No Marriott Rivercenter No $224/$224/$244 ?$264 No (Local Elected City Officials are not eligible for this rate.) Marriott Riverwalk No $219/$2191$239/$259 No Sp ecial Conference Rates Hilton Palacio del Rio No $219/$2191$2391$259 No P Hyatt Regency No $2211$221/$246/$271 No Menger Hotel No $160/$160/$160/$160 No $365 At COC Member Registration Sheraton Gunter No $1891$1891$189/$189 No $475 At COC Non Member Registration The Westin Riverwalk No $237/$237/$257/$277 No Holiday Inn Riverwalk Yes $1841$1841$1941$204 No To be eligible for the SPECIAL CONFERENCE RATE registration must be faxed or postmarked byNOVEMBER 28, 2008 Hotel Deposit Information: All major credit cards with expiration date of 11/09 or later are accepted SG 60 Spouse /Guest (non refundable) at the conference hotels. All checks must be submitted to the hotel after September 9 but before 7 $100 Youth Delegate October 9 and are subject to approval. Please include your 6 digit REG ID indicated on the NLC Meeting Services confirmation. 8 $100 Youth Chaperone (not applicable to elected officials) 22 $175 Student Registration Fee Payment Information L�]/ Charge my REGISTRATION FEES to VISA, MasterCard or AmEx listed below Registration for Leadership Training Institute Seminars will be available in Lf Check for REGISTRATION FEES made payable to National League of Cities June 2009. Purchase Order for REGISTRATION FEES -copy must be enclosed payment must be received by October 03, 2009. Constituency Group 2010 Combined Dues and Special Event Fees Hotel Deposit Payment Information: [You must check one of the options below.] You must be registered for the conference in order to attend. L] Charge my HOTEL DEPOSIT to the credit card listed below (w� Check for HOTEL DEPOSIT please submit to hotel address noted on confirmation after Al $75 APAMO Dues /Activities (elected /member city) September 9 and before October 9 subject to hotel approval. A2 $90 APAMO Dues /Activities (elected /nonmember city) 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 H 1 5 HELO DUeslActivjtles (elected/member City) to pay all applicable registration fees and guarantee my hotel reservation. I understand that one night's room charge will be forfeited if I fail to show up for my assigned housing on the confirmed arrival date H2 $130 HELO Dues /Activities (elected /nonmember city) unless I have canceled my reservation with the hotel at least 72 hours in advance. I understand that if I do H3 $145 HELO Dues /Activities (supporting /corporate member) not show at the hotel on my confirmed arrival date, my reservation will not be reinstated for remainder of H4 $65 HELO Activity Fee (nonmember only) the stay unless I instruct the hotel to reinstate my reservation. Reinstated reservations are subject to N1 $205 NBC -LEO Dues /Activities (elected /member city) hotel availability. N2 $230 NBC -LEO Dues /Activities (elected /nonmember city) Visa /MasterCard /AmEX Number Exp. Date N3 $305 NBC -LEO Dues /Activities (supporting member) Card Holder Name N4 $80 NBC -LEO Membership Luncheon Event Card Holder Signature (nonmember only) Additional Credit Card Authorization: For hotel deposit only If different than the credit card number W1 $110 WIMG Dues /Leadership Award Lunch listed above. (Expiration date must be 11109 or later, per hotel requirement.) (elected /member city) Credit Card Number Exp. Date W2 $120 WIMG Dues /Leadership Award Lunch (elected /nonmember city) Card Holder Name W3 $135 WIMG Dues /Leadership Award Lunch (supporting member) Card Holder Signature Return Conference Registration and Housing Form to: W4 $55 WIMG Leadership Award Lunch (nonmember only) Fax: 703 631 -6288 (Credit Card and Purchase Orders Only No Checks) W5 $45 WIMG Reception (members and nonmembers) Mail: NLC Registration Housing Services, c/o J. Spargo Associates, Inc. 11208 Waples Mill Road, Suite 112, Fairfax, VA 22030 TOTAL REGISTRATION FEE: Make a copy of this form for your records FOR MORE INFORMATION Registration cancellation Policy: e -mail: nicregandhousing@,jspargo.com All requests must be received in writing, postmarked by October 20, 2009, and are subject to a $75 cancellation fee. No partial refunds will be made if you decide not to attend particular functions No registrations or cancellations will be Phone: 888 319 -3864 or 703 -449 -6418 accepted by telephone. No cancellations will be accepted after October 20, 2009. Office Use Only Payment Check# Amount Htl Subblk Cate Rate Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No 201 (Rev. 1995) CITY OF CARMEL An invoice 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 Cabs S IN SUM OF a� ON ACCOUNT OF APPROPRIATION FOR 0 t s I b o `I 1Mn S Board Members 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 r a 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund