Mail or fax this form to: NCSL Seminars Department, 1560 Broadway, Suite700, Denver, CO 80202 (303) 860-8057. Registration fees are payable inadvance or on-site. Registration deadline is Sept. 27, 2000. Please refer to Registration Information for cancellation policy.
| Name |
| Title |
| Affiliation |
| Address |
| City, State, Zip |
| Phone & Fax |
| Spouse or Guest Name |
NALIT Seminar Registration Fees:
[ ] $200 Legislative staff/Legislators
[ ] $150 Daily registration
[ ] $100 Guest/spouse
[ ] $375 All others
Please indicate which track (generally) you plan to attend:
[ ] Technical [ ] Management/Policy
Pre-Conference Training Seminar Registration Fees:
[ ] $100 Legislative staff/Legislators
[ ] $200 All others
Please indicate which training session you plan to attend:
[ ] Technical [ ] Management/Policy
Registration Payment Method [ ] Enclosed [ ] Pay on-site [ ] State Voucher [ ] Bill State
Please charge my: [ ] Visa [ ] Mastercard [ ] American Express [ ] Diners Club
Credit Card Number |
Exp. Date |
Signature |
Special Needs:
[ ] Vegetarian meals
[ ] Wheelchair accessibility
[ ] Other:
Williamsburg Tour:
[ ] Yes, I want to take the optional Saturday tour to Williamsburg*
Number in party: ___________________
* The optional tour will follow Saturday morning's closing session.Its cost is $25 per person (in addition to registration). The tourfee will be collected on site.
Please indicate topics you would like to see included in roundtablediscussions:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Registration fees are payable in advance or at registration. Please return this form by Sept. 27, 2000 to NCSL, Attn: Seminars Department,1560 Broadway, Suite 700, Denver, CO 80202 (Fax: 303/860-8057).
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