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Registration Form
National Association of Legislative Information Technology
1999 Professional Development Seminar October 13-16, 1999
Hyatt Regency Sacramento
Sacramento, California

Name:
_____________________________________________________________

Title:
_____________________________________________________________

Affiliation:
_____________________________________________________________

Address:
_____________________________________________________________

_____________________________________________________________

City: State:
_____________________________________________________________

Zip: Phone: E-Mail:
_____________________________________________________________

_____________________________________________________________

Spouse or Guest Name:

_____________________________________________________________

Registration Fees: Registration Payment Method:

[ ] $200 Legislative staff/Legislators [ ] Enclosed [ ] Pay on-site

[ ] $150 Daily registration [ ] Thurs. [ ] Fri. [ ] Sat.

[ ] $100 Guest/spouse Please charge my:

[ ] $375 All others [ ] Visa [ ] Mastercard [ ] American Express [ ] Diners Club

Credit Card Number: Exp.Date
_____________________________________________________________

Signature
_____________________________________________________________

[ ] Please check here if you prefer vegetarian meals.

Registration fees are payable in advance or at registration. Please print out and return this form by September 20, 1999 to

National Conference of State Legislatures
Attn: Seminars Department
1560 Broadway, Suite 700
Denver, CO 80202
or Fax: 303/860-8057. Refer to the brochure for cancellation policy.

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