APRIL 2-4, 2017 · For assistance, please call 202-662-1530 x226. GO GREEN! Registration is quick...
Transcript of APRIL 2-4, 2017 · For assistance, please call 202-662-1530 x226. GO GREEN! Registration is quick...
ATTENDEE INFORMATIONPlease fill out a separate form for each attendee.
Name: _______________________________________ Attendee Type: ________________________________Organization: __________________________________________________________________________________Address: ______________________________________________________________________________________City: __________________________________________________ State: ________ Zip: ______________Phone: ______________________________________ Email: _______________________________________ Vegetarian I need special assistance: _________________________________________________________
YES, I WOULD LIKE TO REGISTER FOR THE HOUSING LEGISLATIVE FORUM!
ATTENDEE TYPEEARLY BIRD: PAY BY 3/3
REGULAR: PAY BY 3/17 PAY ON-SITE
NLIHC Members (up to 3 from any 1 organization) $300 $350 $450 Low Income Self-Pay Member (up to 3 from 1 resident association)* $100 $125 $200 Non-Member (up to 3 from any 1 organization) $450 $500 $550TOTAL FORUM REGISTRATION FEES: $___________
For hotel rooms: Please contact the Washington Court Hotel at www.washingtoncourthotel.com — the sooner the better (space is limited) — but no later than March 17, 2017. Be sure to mention Group Code NLIHC2017.
YES, I WOULD LIKE TO BUY A TICKET TO THE 2017 LEADERSHIP RECEPTION!This Event will be held on Tuesday, April 4, 2017 at the Washington Court Hotel.
ATTENDEE TYPE TICKET COST
Members (Organizational or Individual): $100 All Other Non-Members $200
TOTAL LEADERSHIP RECEPTION FEES: $___________
TOTAL AMOUNT DUE: $___________Registrations will not be processed until payment is received. Registration closes March 17, 2017 at 11:59 pm ET. All registrations received after March 17, 2017 will be treated as walk-in registrations. Cancellation Policy: A 75% refund of paid registration rates will be available until March 3, 2017.*People who identify themselves as low income and self-pay, including residents of public and assisted housing, voucher holders, students, seniors, VISTA and AmeriCorps volunteers.
PAYMENT INFORMATION I have enclosed a check. Visa MasterCard
Credit Card Number: _____________________________________ Exp. Date: __________ CVC: _______
Cardholder Name: ______________________________ Cardholder Signature: ___________________________Mail your completed form with payment to NLIHC, 1000 Vermont Avenue NW, Suite 500, Washington, DC 20005 Registrations can also be faxed to 202-393-1973, but must include credit card information. For assistance, please call 202-662-1530 x226.
GO GREEN! Registration is quick and easy through our secure website nlihcforum.org
NLIHC 2017Housing Policy Forum
APRIL 2-4, 2017
nlihcforum.org
Washington Court HotelWashington, DC
10/14/2016
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