2009 NWA Legislative Leadership Conference
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REGISTRATION FORM Tampa, FL 2009 NWA Legislative Leadership Conference Pre-Conference – Dec. 5 | Conference – Dec. 6- 8 Marriott Tampa Waterside Hotel & Marina
PERSONAL INFORMATION http://www.register.pep8a.com/event/2009_NWA_ (*required information) Legislative_Leadership_Conference If using this form, payment must be sent with form to Please Type, print or attach business card: Circle one: Mr. / Mrs. / Ms. / Dr. / Hon. be fully registered If you are paying with a purchase Order, the PO form ______must accompany this form ______ Make checks out to: The Event Connection *First Name Middle Initial *Last Name Send form and check to: 31 Mesa Oak, Littleton, CO ______80127 __ The Event Connections Federal Tax ID #: 20-0536550 Job Title One registration form per registrant. Duplications of ______this form are permissible __ Make sure all information is correct and legible Badge Name (if different from above) Unless the conference has met capacity, registration ______will be accepted until Monday, Nov. 30th __ *Organization/Agency PAYMENT INFORMATION: (Select Fee(s)) ______Pre-conference Workshop “Congress in Action” __ Sat., Dec. 5th; 10:00 am – 3:00 pm * Address Facilitator: David Bradley, CEO NWA ______ Cost $195 ______* City * State * Zip Member/Non Member Early Bird Registration Fee Ends Fri., Sept 4, 2009 Code Cost $395 ______NWA Member Regular Registration Fee *Phone * Fax Cost $455
______NON - NWA Member Regular Registration Fee ___ *E-mail of person attending conference Cost $525
(must provide to process registration) TOTAL AMOUNT DUE: ______+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ___ +++ *E-mail address of person wanting to receive registration confirmation METHOD OF PAYMENT: or Check/Money Order enclosed payable to: The Event credit card confirmation receipt. Connection +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Payment waived or comp (Prior authorization required) +++ Purchase Order: # ______SPECIAL ASSISTANCE: Credit Card: ___Visa ___MasterCard ___American Express Requests must be received no later than March 28, 2008. CC: ______Mobility ______Hearing ______Visual ______Dietary Exp. Date: ______/______Other (Please Explain) Mo Yr Visa/MC: 3-digit verification code from back of credit card ______+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ AmEx: 4-digit verification code from the front of the card +++ ______CONFERENCE REGISTRATION INFORMATION: Credit Card (where monthly billing is sent) or Purchase Order REGISTER ONLINE: For immediate confirmation, Invoice Billing Address: register online using purchase orders, credit card or check option payment methods ______Name of Person who the credit card belongs to +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ +++ ______CANCELLATION POLICY – PLEASE READ CAREFULLY! You will be * Address charged a $75 cancellation fee for any registrations cancelled before 5:00pm Mountain Time 30 days prior to an event except for ______documented cases of medical or family emergency. After 30 days prior ______to an event, full registration fee is due whether you attend or not. * City * State * Zip Code Substitutions may be made at any time at no cost. Cancellation or ______substitution must be mailed or faxed to PEP’s Event Connection and will ___ not be accepted over the phone. It is your responsibility to cancel your *E-mail address of person whose name is on the credit card. room reservation with the hotel – PEP’s Event Connection will not contact the hotel on your behalf.
By checking here, I signify that I understand the cancellation policy. Mail or Fax Payment to: PEP’s Event Connection, 31 Mesa Oak, Littleton, CO 80127 Fax: 303-362-7899 Marriott Tampa Waterside Hotel & Marina – Tampa, CONFERENCE FL INFORMATION 2009 NWA Legislative Leadership Conference Pre-Conference – Dec. 5 | Conference – Dec. 6- 8
WHY SHOULD YOU ATTEND? Learn what to expect from the Obama This Conference offers a unique opportunity for you to Administration and how the Administration and take an active part in addressing the wide range of issues Congress will interact that will shape the workforce development system for Gain insights into promising practices designed years to come. It will connect you with key Congressional to help coordinate local training and leaders responsible for workforce legislation, provide employment activities and regional planning opportunities to refine your message and communication initiatives strategies with elected officials at all levels, allow for valuable time to creatively discuss the challenges facing QUESTIONS: the workforce system, as well as recharge and energize Content and Agenda: staff and WIB Board members for the work that lies John Baker, [email protected] ahead. Registration, Hotel and Logistics: Denise Donnahoo, Performance Excellence Partners During the Conference, you will: 303-972-8372 or [email protected] Hear from Congressional representatives from Exhibit and Sponsorship Opportunities: both the House and the Senate who will Rachel E. Ramirez, Performance Excellence Partners influence how we strategically and operationally 714-374-1140 or [email protected] address the current economic crisis and the Maximize your Marketing Dollars! looming skill crisis CONFERENCE SPONSOR Receive an insider's view of the current forces at National Workforce Association www.nwaonline.org play in the Budget and Appropriations process from senior Congressional staff Become better informed with sharpened skills to PRE-CONFERENCE WORKSHOP advance the workforce agenda, make better Pre-con Session – Sat., Dec. 5th; 10:00 am – 3:00 pm decisions and engage more effectively with Title: “Congress in Action” national and state legislators and local elected Facilitator: David Bradley, CEO NWA officials Cost: $195 Broaden your knowledge of discretionary During this valuable session (separate registration is funding opportunities that exist within ARRA required, seats are limited!), David Bradley, CEO of NWA, Discover ideas on how to reinforce strategic will recreate his hugely popular Inside Congress workshop partnerships with community colleges and customized for the 111th Congress. Registrants will have organized labor the opportunity to participate as members of congress, See the new plans for even more Summer Youth lobbyist, staff and more, fully experiencing the dynamics Program funding of the congressional process. Gain unprecedented insights into actions that can make a difference while interacting with your colleagues. Learn for yourself what forces might stall or move legislation forward in the authorizing process, and experience the tradeoffs during the budget and appropriations process. This is as real as it gets!
CONFERENCE REGISTRATION Register on-line at https://theeventconn.com/event/2009_NWA_Legislative _Leadership_Conference/register?pep8a=1 Registration Fees Pre-conference Workshops - $195 Early Bird Registration Fee (before Sept.4th) - $355 NWA Member Regular Registration Fee (after Sept. 4th) - $455 Non NWA Member Regular Registration Fee (after Sept. 4th) - $525 HOTEL RESERVATIONS Tampa Marriott Waterside Hotel & Marina 700 South Florida Avenue Tampa, FL 33602 HOTEL WEBSITE: http://www.marriott.com/hotels/travel/tpamc-tampa-marriott- waterside-hotel-and-marina/ RATES: Single/Double: $149 (plus12% tax) Three or Quad: $169 (plus12% tax) HOTEL RESERVATION CUT-OFF DATE: Monday, Nov. 2nd Reserve your room by November 2nd to receive the exclusive NWA hotel rate. Make sure to mention the National Workforce Association Conference to receive this special rate. REGISTER TODAY!