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Nov—O4 2008 11:21HM Grand Hyatt San flntonio 210-271-8019

CREDIT CARD AUTHORIZATION FORM

Hotel:
Grand Hyatt San Aatonk). TX
Guest Name(s): POp

Guest Reservation Confirmation Number:

Function Name (rf applicable): L oPOrfi


Guest Arrival Date<s):

Name of Business (W applic oP


Credit Card Billing Address: 55 O m oj r\ .
City, State, and Zip: CT" D f e / 0 3
Guest Phone Number:

I hereby authorize the following charges to be appHed to the following credit card.
Check all that apply:
A/c
n Only Specific Incktantals 31ft Certificate
_
;O Food a Beverage f^j All Banquet Charges Guest Amenity
O All Incidentals D Parking Other

I hereby authorize the following


amount be applied to the credit cai-d:

Comments:

Credit Card Number:


Q-tSredlt Card
Expiration Date:
O Debit Card
Name on Card:

Signature of Card Holder Currant Date 10/27/09

Please fax this form with a readable photocopy of the front and back of the signed credit card to:

Hotel Fax i*: 210-271-8019

Fora list of all hotab end (heir conltict informalion, pleas* visit:
AH Information Is kept ixmfidsnUal ami used only (or the purposes as noted above.

PARK U Y A T T " AN Z,
Page 1 of2

Maylor, Petrel L.

From: nlcregandhousing@jspargo.com
Sent: Thursday, October 15, 2009 4:34 PM
To: rjowinch@ci.hartford.gov; Maylor, Petrel L.
Subject: Registration/Housing Confirmation and Receipt - 953085

NATIONAL-LEAGUE OF COTES
Strengthening & promoting cities as centers of opportunity, lead ershi p and governance W
National League of cities - Congress of Cities and Exposition
November 10-14, 2009
Henry B. Gonzales Convention Center
San Antonio, TX

Questions about your registration? Contact Us!


Confirmation Number: 953085
Date of Registration: 10/15/2009

Name: rJo Winch


Title/Position: Majority Leader
Representing City: City of Hartford
Address: 550 Main St
City/State/Zip: Hartford, CT 06103-2913
Country: USA
Phone: (860)757-9570
Fax:(860)722-8131
Email: rjowinch@ci.hartford.gov
Alternate Email: maylp002@hartford.gov

This confirmation includes BOTH YOUR HOUSING AND REGISTRATION information. This is your official confirmation for conference payment as well as your
hotel reservation. Please print this out and retain it for your records.

Click on Click here for On-Line Registration


Registration Information
REGISTRATION
Full Conference
$410.00

EVENTS
The Policymaker's Role in Creating Healthy Communities
Date: 11/10/09 Time: 9:OOAM-12:OOPM
$120.00

Effective Councils and Boards: Avoiding the Board Trap


Date: 11/11/09 Time: 9:OOAM-5:OOPM
$180.00

Leadership Luncheon
Date: 11/11/09 Time: 12:OOPM-1:30PM
$40.00

WIMG Reception (members and non members)


$50.00

Payment Information
Payment Type: CCD Payment
Reference: MasterCard
5xxx5260Exp: 10/12
Payment Amount: $800.00

Amount Due: $800.00


Amount Paid: $800.00
Balance Due: $0.00

The credit card supplied for payment has been charged for the applicable registration fees for the NLC Congress of Cities and Exposition. We will not accept
alternate forms of payment or change of payment type once registration is submitted. Duplicate payments will be returned.

Registration Change/Cancellation Information


All requests for cancellation must be in writing, postmarked by, October 20, 2009 and are subject to a $75.00 processing fee. No partial refunds will be made if you
decide not to attend particular functions. No registrations or cancellations will be accepted by telephone. No refunds for cancellations after October 20, 2009.

10/15/2009
Page 2 of 2

Hotel Reservation Information


Grand Hyatt San Antonio
600 E. Market Street,
San Antonio, TX
Phone:210-224-1234
Fax:210-271-8019

Room Type: Single (1 person/1 bed) $224.00


Tax Rate: 16.75%
Check-In: 11/09/09
Check-Out: 11/15/09
Smoking Room: No

Room Guaranteed by: MC


Card Number: 5*********«5260
Expiration Date: 10/12

Hotel Change/Cancellation Information


Thank you for reserving your hotel room in advance. Your assigned hotel requires cancellations to be submitted at least 72 hours prior to your scheduled arrival
date. If your hotel does not receive notice prior to the 72 hours, this reservation will be subject to your guarantee equivalent to one night's room and tax. Changes
and cancellations to your reservation may be done online by visiting www.nlc.org or via e-mail at nlcregandhousing@jspargo.com, no later than October 15, 2009.
If you do not recieve an acknowledgement reflecting the change or cancellation wtihin 72 hours, contact the NLC housing center to ensure that we received your
request. After October 15, 2009 you must contact your hotel directly to make changes or cancellations to your reservation. If you fax or email your change or
cancellation, we will process it within 3 business days and resend a confirmation to the email or fax number in this record. If you do not receive a confirmation
within 3 business days, please contact us at 888-319-3864 or 703-449-6418 to ensure that we received your requested change or cancellation. Your hotel will
attempt to provide your room type preference but it is not guaranteed.

Please verify that your check-in and check-out dates are correct. NOTE: Some hotels charge an early departure fee.

Your assigned Hotel requires cancellations to be submitted at least 72 hours prior to arrival date. If your Hotel does not receive notice outside the 72-hour period,
you will forfeit your deposit equivalent to one night's room and tax. Please note some hotels charge your credit card for the one night's guarantee immediately upon
receipt of the hotel reservation information.

Please be sure to save your changes before logging out of the system. If you do not receive an updated confirmation email or fax with 3 days, please contact NLC
Registration and Housing Center at 888-319-3864 or nlcregandhousing@jspargo.com.

Registration and Housing Center Information


NLC Registration and Housing Center
11208 Waples Mill Road, Suite 112
Fairfax, VA 22030
Toll Free Phone: (888) 319-3864
Phone: (703)449-6418
Fax: (703)631-6288
Email: nlcregandhousing@jspargo.com

10/15/2009
Itinerary 129697631906 Page 1 of2

San Antonio, TX (6)


Expedia

Booked items

Although this itinerary doesn't qualify for ThankYou Points, you can still earn
points if you add a hotel booking today or any time before you travel. iThanh You fi

Learn more about how to earn points for future bookings.

Flight: Hartford to San Antonio back to top


Expedia itinerary number: 129697631906 Main contact: rJo Winch
Airline ticket number(s): 0017712368635 E-mail: maylp002@hartford.gov
Northwest confirmation code: 37CAQ6 Home phone: (860) 206-7464
American Airlines confirmation code: EEXTJN

Traveler summary
rJo Winch Adult Add Frequent Flyer number(s) $236.99
Taxes & Fees $42.41

Total (MasterCard) $279.40


Change this flight View cancellation information
Flight summary
Please be sure to re-confirm your flight at least 24 hours prior to scheduled departure (72 hours prior
for flights to Hawaii and international destinations). You may check your flight status and departure
gate online, or contact the airline directly. Seat assignments, meal preferences, and special requests
must be confirmed with the airline; we cannot guarantee that they will be honored. Free and special
meals are not available on many flights.
Mon 9-Nov-09
Hartford (BDL) to Detroit (DTW) 539 mi
Depart 6:00 am Arrive 8:03 am (867 km)
Duration: 2hr 3mn Flight: 3485
Operated by: Mesaba Aviation

Economy/Coach Class ( 15A ), CR9


Please check in with Mesaba Aviation. If checking in at a kiosk, use your name rather than confirmation number.

Detroit (DTW) to San Antonio (SAT) 1,226 mi nuua - .


Depart 9:05 am Arrive 11:29 am (1,973km)
Duration: 3hr24mn Flight: 5671
Operated by: Compass Airlines

Economy/Coach Class ( 13A ), Food For Purchase, E75

Total distance: 1,765 mi (2,840 km) Total duration: 5hr27mn (6hr29mn with connections)

15-Nov-09
San Antonio (SAT) to Dallas (DFW) 248 mi
Depart 6:00 am Arrive 7:05 am (399 km) AM
Duration: 1hr5mn Flight: 1164

Economy/Coach Class (24F), S80, 90% on time

Dallas (DFW) to Hartford (BDL) 1,465 mi

http://www.expedia.com/pub/agent.dll?qscr=open&itid=296976319&vwtp=4 10/15/2009
Itinerary 129697631906 Page 2 of 2

Depart 7:45 am Arrive 12:05 pm (2,358 km)


Duration: 3hr 20mn AVA
Flight: 1916
Economy/Coach Class (23F), Food For Purchase, Boeing 737-800, 90% on time

Total distance: 1,713 mi (2,757 km) Total duration: 4hr 25mn (5hr 5mn with connections)

IJAdditionaf airline fees may apply at check-in


Fees may be charged by airlines for services such as preferred seat selection and baggage handling. Please
note that fees are determined by the airline you check in with and may change at anytime.
See fees.

Airline &
Ticket changes may incur penalties and/or increased fares.
Tickets are nontransferable and name changes are not allowed.
Please read important information regarding airline liability limitations.
Prices do not include baggage fees or other fees charged directly by the airline.
Other penalties may apply.
See an overview of all the rules and restrictions applicable for this fare.
View the complete penalty rules for changes and cancellations associated with this fare.

Customer Support
Itinerary number: 129697631906
If you have questions about your reservation, fill out our itinerary assistance form. We'll respond within
24 hours: For immediate assistance call Expedia at 1-800-EXPEDIA (1-800-397-3342) or 1-404-728-
8787 and have the itinerary number ready.

http://www.expedia.com/pub/agent. dll?qscr=open&itid=296976319&vwtp=4 10/15/2009


Click Here & Upgrade
Expanded Features ; Congress of Cities Conference & Exposition Registration and Housing Form
Unlimited Pages Sonzales Convention Center, San Antonio, Texas- November 10-14, 2009
Complete i must be Postmarked by 09/30/09 to Qualify for Early Bird Registration
No housing or registration will be processed without accompanying payment in full. Hotel Reservations: You must be registered for Die Conference to reserve a hotel room. To guarantee your mom, all
hotels require one night's deposit phis 16.75% tax ($ubj«ct to change), 30 days prior b Hotel Reservations You must
Are you a newly .elected official? f^t} Size of City? \^-C\iOGO Oo.V. be registered for me Conference to reserve a hotel room. To guarantee your room, all hotels require one night's deposi
plus 18.75% tax (lubject to change), 30 days prior to your arrival. This is required even I you plan to arrive before 600
Name VO^ \\ WNcAA Gender V ' p.m. If accommodations are not guaranteed 30 days in advance, the reservation will be cance ted.
ntie ^X & -\«N >j_5x ULSbf -•CI-V H Please make my hotel reservation as indicated below.
Citv/Oraanization V ,\^ru Jn; ^Vi&E_iL_Sj£iQ U 1 do not require hotel accommodations at any of the hotels listed below.
LJ Although 1 am providing information for a standard room now, please contact me regarding suite information.
Mailina Address ^1 fy ft W?KooV\ 5_£liES
Room Dates: AmvalDate:\l /^^\ Departure Date: \\ /V^/O^
Citv 'vXftO?\'!Xf,-^^ State ^~~~\" Zio OC,\0,?\
r Room Type: (UJ Single (1 person/1 bed) [J Smoking
Phond %t G\ 1 ^1 'Cv^lf) Fax(S,fef!\ "\1X1 ~ -sV>\ \ U Double (2 people/1 bed) If Non-Smoking
Email \\AOxV\0 2^£^V^^^^^ Ckt\\) U Double/Double (2 people/2 beds)
U Trite (3 peopled beds)
Reaistranf s Email
\ vyx ;s n. \\ C) JftVO. TJ > V\ c C v v x \ v f i \ ff, ^t [J Quad (4 people/2 beds)
" ' (Y\ ,i~ l\
Soouse/GuestName*($80fee) \\ f^/-p\ « Room types cannot be guaranteed but Hotels will attempt to accommodate all requests.
•Spouse/Guest not eligible for a separate /lofeV room. Fee Is NONREFUNDABLE
Sharing My Room With (for Hotel Rate and Check In Purposes):
Child Name (14 and under, no feel p> fX Aae 1) W |1^ :21 -3)
Special/Housing Request (e.g., wheelchair accessible rooms, etc.):
Youth Defeaate" (15-18. $100 fee) K! l^i Aae
If you have special housing or transportation needs, pfease contact NLC Meeting Services.
"Local officials are encouraged to register youth as active participants in this conference to contribute to
/VIC'S youth agenda. If the youth delegate requires hotel accommodations separate from yours, attach Hotel Choices: Indicate your first-choice hotel with the number "1 ". Number the other hotels from "2" to
thBlr registration form with your completed form. "9* in order of preference. Grand Hyatt San Antonio Is the headquarters hotel.
Youth Chaoerone Name ($100 fee) "ku -A Smoking NLC Rate
(Local Elected City Officials are not ellgple for this rate.) Order Hotel Property? SglDbVTrip/Quad
V Grand Hyatt No $224/$224/$249/$249
Special Conference Rates 5l Marriott Rivercenter No $224/$224/$244?$264
^ Marriott Riverwak No $219/$219/$239$259
SG $80 Spouse/Guest (non-refundable) $ U Hilton Palacio del Rio No $219/$219/$239/$259
7 $100 Youth Delegate $ *? Hyatt Regency No $221/$221/$246/$271
8 $100 Youth ChaperonefnofappWcaWe to elected officials) $ Cj MengerHotel No $160/$160/$160/$160
22 $175 Student $ ^i Sheraton Gunter No $189/$189/$189/$189
<a. TheWestinRiverwalk No $237/$237/$257/$277
\ Holiday Inn Riverwalk Yes $149/$149/$149/$159
Registration Fees: Early Bird Valid Thru 09OO/09
1 NLC Member City $410$ M\fo
Hotel Deposit Information: All major credit cards with expiration date of 11/09 or later are accepted
3 SML Member City $510$
at the conference hotels. All checks must be submitted to the hotel after September 9 but before
4 Non-Member/Ottier $570$ October 9 and am subject to approval. Please include your 6 digit REG ID # indicated on the NLC
5 First Time Attendee $375$ Meeting Services confirmation.
Registration for Leadership Training Institute Seminars: Registration Fee Payment Information /-—____
To REGISTER, codes and fees are listed beside the Leadership Training Institute title in the brochure and tff Charge my REGISTRATION FEES to VISA/MasterCard^rAmEx Isted below
on the website. You must be registered for the conference in order to attend. [J Check for REGISTRATION FEES made paya^ertrNaftSnal League of Cities
Tuesday. November 10- Full-Dav Seminar $180.00 Code: $ U Purchase Order for REGISTRATION FEES - copy must be enclosed & payment must be received
Tuesday, November 10 -Morning Seminar $120.00 Code: LQV\ S\3_.Q by October 03, 2009.
Tuesday. November 10 -Afternoon Seminar $120.00 Code: $ Hotel Deposit Payment Information: [You must check one of the options below.]
Wednesday, November 11 -Full-Day Seminar $180.00 Code: \,\'3L. $ ^Q-C) Qf Charge my HOTEL DEPOSIT to the credit card isted below
Wednesday. November 11- Mornina Seminar $120.00 Code: $ U Check for HOTEL DEPOSIT - please submit to hotel address noted on confirmation after
Wednesday, November 11 -Afternoon Seminar $120.00 Code: $ September 9 and before October 9 - subject to hotel approval.
LTI Participant & Recognition Luncheon $ 40.00 Code:L9A $ ^0
L1 6 Only Full Day. (Booklet included with Course) $ 140.00 Code: $
Credit Card Authorization: NLC Registration and Housing Services is authorized to use the card bebw
Constituency Group 2010 Combined Dues and Special Event Fees 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
You must be registered for the conference in order to attend. unless I have canceled my reservation with the hotel atfeast72 hours in advance. I understand that if I do
A1 $85 APAMO Dues/Activities (elected/member city) $ not show at the hotel on my confirmed arrival date, my reservation will not be reinstated for remainder of
A2 $100 APAMO Dues/Activities (elected/nonmember city) $ the stay unless I instruct the hotel to reinstate my reservation. Rein-'-, ; ! -^rvations are subject to
A3 $150 APAMO Dues/ActMfies (supporting/corporate member) $
hotel's availability.
G1 $55 GLBLO Dues $_ ^_
H1 $130 HELO Dues/Activities (elected/member city) $_•'. '_'-£_ VisatjteterCardfyrp'1'' "HJIH.^.. . _=*M."
H2 $140 HELO Dues/Activities (etected/nonmember city) $ ' Card Holder Name
H3 S155 HELO Dues/Activities (supporting/corporate member) $
Card Holder Sign*™; c
N1 S215 NBC-LEO Dues/Activities (elected/member city) i ---A Additional Credit Card Autnoiuxmun; r— !*,,,.__ ... : _..iy if different than the credit card number
N2 $240 NBC-LEO Dues/Activities (elected/nonmember city) $ listed above. (Expiration date must be : '!'& I, ' .ter, per hotel requirement.)
N3 $315 NBC-LEO Dues/Activities (supporting member) $
N4 $85 NBC-LEO Membership Luncheon Event Credit Card Number Exo. Date
(nonmemberonly) $ Card Holder Name
W1 $115 WIMG Dues/Leadership Award Lunch Card Holder Sianature
(elected/member city) $,
W2 $125 WIMG Dues/Leadership Award Lunch Return Conference Registration and Housing Form to:
(etected/nonmember city) $ Fax: 703-631-6288 (Credit Card and Purchase Orders Only- No Checks)
W3 $145 WIMG Dues/Leadership Award Lunch (supporting member) Mail NLC Registration & Housing Services, c/o J. Spargo & Associates, Inc.
$ 11208 Waptes MI Road, Suite 112, Fairfax, VA 22030
"•Make a copy of Oils form for your records
W4 $65 WIMG Leadership Award Lunch (nonmemberonly) $ QUESTIONS ABOUT REGISTRATON, HOUSING, or INVOICES
W5 $50 WIMG Reception (members and nonmembers) $ 'jQ frmaii: nJcreqandhousinqfaisparqo.com
Phone: 888-3ig-3864or703-44g-6418
TO IAL KtUISTRATION FEE SJ;
Registration Cancellation Policy:
Al! requests must be received in writing, postmarked by October 20, 2009, and are subject to a $75 cancellation fee. No Subblk_ Cate_
partial refunds Hill be made if ycu decide not to attend particular functions. No registrations or cancellations will be
accepted by telephone. No cancellations will be accepted after October 20, 2009.

Office Use Only Check* Amount

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