TCSA REGISTRATION FORM March 12-13, 2018

Davidson County DoubleTree Downtown Nashville You may use this REGISTRATION FORM as your invoice.

REGISTRATION FEES Early/Pre-Registration (prior to February 10) County Officials..........................$60

Late/On-Site Registration (February 10 and later) County Officials..........................$75

County Staff...............................$60 Non-County Officials.................$60 Spouses.....................................$60

County Staff................................$75 Non-County Officials..................$75 Spouses......................................$75

(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: ________________________________________________________

AGENDA INFORMATION At this time, TCSA and its affiliate organizations are finalizing the agenda. Plans include board and committee meetings and general membership meetings for all associations and affiliates (TCSA, TCHOA, TCCA and ACM) to begin on Monday, March 12, 2018. You will receive additional information from your affiliate association. Attendees will have an opportunity to attend the Monday night floor session of the General Assembly as well as legislative committee and subcommittee hearings on Tuesday. The County Government Day breakfast is for all attendees and invited legislators and will begin at 7:30 a.m. on Tuesday, March 13, 2018. Cancellation Policy: Deadline is February 9, 2018. Refund of conference fee, less an administrative fee of $25, will be made if notice of cancellation is received no later than February 9, 2018. AFTER FEBRUARY 9, NO REFUND WILL BE GIVEN. Credit cards accepted by calling TCSA 615/532-3767. VISA, MasterCard, Discover and AmEx accepted.

HOTEL INFORMATION

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.

Hotel accommodations are the responsibility of individual delegates. Please make your reservation at the hotel by calling 1-800-222-8733. Group Name is TCSA County Government Day 2018.

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 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.

Please be considerate of others when making your hotel reservations by reserving only one room in your name so that all counties that wish to stay in the conference hotel have that opportunity.

Mail payment and this form to: CGD REGISTRATION 226 Capitol Blvd. Bldg., Suite 700 Nashville, TN 37219 615/532-3769 Fax

DoubleTree Downtown Nashville 315 4th Avenue North Nashville, TN 37219

***Any rooms cancelled after the room block closes (February 9, 2018) will be charged for one night.*** Thank you for your cooperation.

CGD registration Form 2018.pdf

Page 1 of 1. Badge Name (First/Last):. Title: Email: Cancellation Policy: Deadline is February 9, 2018. Refund of conference. fee, less an administrative fee of $25, will be made if notice of cancellation. is received no later than February 9, 2018. AFTER FEBRUARY 9, NO. REFUND WILL BE GIVEN. Credit cards accepted by ...

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