TCSA REGISTRATION FORM March 13-14, 2017
Davidson County DoubleTree Downtown Nashville You may use this REGISTRATION FORM as your invoice.
REGISTRATION FEES Early/Pre-Registration (prior to February 25) County Officials..........................$50
Late/On-Site Registration (February 25 and later) County Officials..........................$65
County Staff...............................$50 Non-County Officials..................$50 Spouses.....................................$50
County Staff...............................$65 Non-County Officials..................$65 Spouses.....................................$65
(Mayors, Commissioners, Highway Officials)
(Mayors, Commissioners, Highway Officials)
Payment MUST accompany registration form. Registration fee covers admission to all meeting functions and meals. Badges are required for ALL attendees. Please return this form to the TCSA office at the address below. Credit cards accepted (VISA, MasterCard, Discover and AmEx). If you wish to pay by credit card, please call the TCSA office at 615/532-3767.
DELEGATE INFORMATION - Please duplicate as necessary. Please Type or Print.
You must provide email if you wish to receive a confirmation.
NAME OF COUNTY ____________________________________________________________________ Badge Name (First/Last): _____________________________________________________________________________________________________________ Title: _______________________________________________________________ Email: ________________________________________________________
Badge Name (First/Last): _____________________________________________________________________________________________________________ Title: _______________________________________________________________ Email: ________________________________________________________
Badge Name (First/Last): _____________________________________________________________________________________________________________ Title: _______________________________________________________________ Email: ________________________________________________________
Badge Name (First/Last): _____________________________________________________________________________________________________________ Title: _______________________________________________________________ Email: ________________________________________________________
AGENDA INFORMATION At this time, TCSA and its affiliate organizations are finalizing the agenda. Plans include board meetings and general membership meetings for all associations and affiliates (TCSA, TCHOA, TCCA and ACM) to begin on Monday, March 13, 2017. You will receive additional information from your affiliate association. The County Government Day breakfast is for all attendees and will begin at 7:30 a.m. on Tuesday, March 14, 2017. Cancellation Policy: Deadline is February 24, 2017. Refund of conference fee, less an administrative fee of $25, will be made if notice of cancellation is received no later than February 24, 2017. After February 24, NO REFUND will be given. Credit cards accepted by calling TCSA 615/532-3767. VISA, MasterCard, Discover and AmEx accepted. No-Show Policy: Pre-paid no shows forfeit the registration fee. Billed noshows will be responsible for full payment of registration fee. Please notify TCSA by calling 615/532-3767 if you cannot attend. Substitutions accepted. Notice: In consideration for registration for this conference, the registrant, for self and others subject to the registration, agrees to hold harmless the Tennessee County Services Association, the County Officials Association of Tennessee, the employees, agents and assigns for any liability as to any injury, damage, or loss to person or property during the term of the conference and all times attendant thereto.
Mail payment and this form to: CGD REGISTRATION 226 Capitol Blvd. Bldg., Suite 700 Nashville, TN 37219 615/532-3769 Fax
HOTEL INFORMATION Hotel accommodations are the responsibility of individual delegates. The conference hotel room block is full. We have secured a small block of rooms at the Courtyard by Marriott, Downtown. Please contact the Courtyard, by calling 800-321-2211. In order to receive the conference rate, you must reference the Tennessee County Services Association Block at the Courtyard by Marriott Nashville 170 4th Avenue N, Nashville 37219 Conference rate: $161.00
