Annual Winter Conference Registration Form
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1CCAO/CEAO ANNUAL WINTER CONFERENCE
DECEMBER 7-9, 2014
CCAO/CEAO AFFILIATE MEMBERS ONLY REGISTRATION FORM
Register online until December 1 at
(Note: County officials, staff that are not members of an affiliate listed below, and vendors cannot register as an affiliate.)
___________________________________________________________________________________________
COUNTY
NAME
TITLE
PACKET LETTER
DOLLAR
AMOUNT
PLEASE DESIGNATE YOUR AFFILIATE MEMBERSHIP BELOW:
_______ County Administrators Assn
_______ County Comm. Clerks & Engineers Admin. Professionals Assn (CCC/EAPA)
_______ County Dog Wardens Assn (OCDWA)
_______ Emergency Managers Assn
_______ Family & Children First Coordinators Assn
_______ Facility Management Assn
_______ County Home Assn
_______ County Loss Control Coordinators Assn (CLCCA)
_______ Planning Directors Assn
_______ Purchasing Assn
_______ Sanitary Engineers Assn (CSEAO)
_______ Solid Waste District Directors (OSWDO)
BILLING ADDRESS___________________________________________________________________________________________
CITY__________________________________________________________________STATE__________ZIP__________________
PHONE (_____) ______________________ FAX (_____) __________________ E-MAIL __________________________________
CHECK ENCLOSED FOR $__________ (
PLEASE INVOICE THE COUNTY FOR $__________
Make check payable to the Conference Account.)
AUTHORIZING SIGNATURE __________________________________________ TITLE ____________________________________
REGISTRATION OPTIONS
By Nov 17
After Nov 17
A.
FULL CONFERENCE
$ 300
$ 325
(Includes Conference registration; Sun. reception*; Mon. breakfast, luncheon,
trade show dessert break, reception* & banquet; Tues. breakfast & box lunch)
B.
MONDAY ONLY
$ 160
$ 185
(Includes Conference registration; Mon. breakfast, luncheon, trade show
dessert break, reception* & banquet)
C.
TUESDAY ONLY
$ 120
$ 145
(Includes Conference registration; Tues. breakfast & luncheon)
D.
MEETINGS ONLY (CCAO/CEAO affiliates only.)
$ 50
$ 55
(Conference registration only. No meals. Designate your affiliate membership above.)
NOTE: *No portion of the registration fee will be used to purchase alcoholic beverages.
DIETARY RESTRICTIONS – (Circle your dietary restriction)
GLUTEN FREE
VEGAN
VEGETARIAN
REGISTRATION POLICY –
Online
registration is encouraged. Register online or postmark registrations by November 17 to qualify for the discount rate.
Registrations after November 17, which include payment at the discount rate, will be billed for the difference.
Online registration closes at 5:00 PM on December 1•Fax registration closes at 5:00 PM on December 3
You may register at the door provided space is available. REGISTRATIONS WILL NOT BE TAKEN OVER THE PHONE. For registration information please contact
Ali
Redmond, CCAO Accountant, at (614) 221-5627, (888) 757-1904 or fax (614) 221-6986.
Make checks payable to the Conference Account. RETURN REGISTRATION
FORMS AND PAYMENTS TO CCAO, 209 EAST STATE STREET, COLUMBUS, OHIO 43215-4309, FAX (614) 221-6986.
CANCELLATION POLICY -
Refund of conference registration, less an administrative fee of $25, will be made if a cancellation is necessary. Written cancellation
notice must be postmarked no later than November 24, 2014.
HOTEL RESERVATIONS
HEADQUARTERS HOTEL –
Hyatt Regency
Columbus, 350 North High Street, Columbus, OH 43215 or (888) 591-1234.
The Hyatt is connected to the Greater
Columbus Convention Center. All hospitality suites and the Sunday evening reception will be held at the Hyatt. Room rate: $120 single/double/triple/quad. Hyatt
reservation cut-off date: November 17, 2014.
OTHER CONFERENCE HOTEL -
Drury Inn & Suites
(group access code: 220951088), 88 East Nationwide Blvd., Columbus, OH 43215 or (800) 325-0720. Room rate:
$94 single, $104 double, $114 triple, or $124 quad. Drury reservation cut-off date: November 5, 2014.
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