2010 Texas City Management Association (TCMA) Annual Conference

REGISTRATION FORM
TWO WAYS TO REGISTER: Your registration will not be processed until payment is received.
Register online with your credit card payment at:
www.tcma.org or
www.tml.org (click on “Training”)
Mail this form and your payment to:
TML Administrative Services
1821 Rutherford Lane, Suite 400
Austin, TX 78754-5128
Confirmations/Badges: Your badge and confirmation will be mailed to you. If you provide an e-mail address, you will also receive
confirmation via e-mail.
Please type or print below. Copy this form as needed for additional registrations.
Full Name: __________________________________________________________________________________________________
Badge Name: ________________________________________________________________________________________________
Title:________________________________________________________City/Organization: _________________________________
Address:________________________________________City: ________________________________________________________
State: _________________________________ Zip: ________________________________________________________________
Phone: ___________________________Fax: ______________________ E-mail___________________________________________
I require the following special accommodations:
___________________________________________________________________________________________________________
DELEGATE REGISTRATION FEES Early (By May 31) After May 3
o TCMA member ____ $250 ____ $300
o TCMA non-member ____ $375 ____ $425
o Special member* ____ $125 ____ $175
*Special members include TCMA members who have joined since July 1, 2009; first-time attendees from cities with a population
of less than 5,000; members of statewide assistants’ organizations who are NOT TCMA members; and academicians.
o Student (must be a full-time university student) ____$ 25 ____$ 25
o Life member ____$ 25 ____$ 25
o In-transition member ____No charge ____No charge
In-transition members are responsible for any separate ticketed events.
o Conference sponsor ____No charge ____No charge
o Please check if this is your first TCMA Annual Conference.
o Please check if you are a member of a management assistant organization.
OTHER REGISTRATION FEES
o Spouse/Guest Name ______________________________________________ $ 35
o Youth One Name ________________________________________________ $ 35
o Youth Two Name ________________________________________________ $ 35
o Youth Three Name _______________________________________________ $ 35
8
TICKETED EVENTS (Please see page ___ for more details on the following events.)
(Mark all that apply below. Some events sell out, so tickets may not be available on site.)
Fee Quantity Total Cost
Awards Luncheon (Friday) $40 ______ ______
Regional Breakfast (Saturday) Region Number $25 ______ ______
Networking Luncheon (Saturday) $40 ______ ______
See insert for Golf Tournament registration.
Total for Registration Fees and Tickets $_________
TCMA Annual Conference 2010
CREDIT CARD PAYMENTS:
o MasterCard o Visa o Am Ex o Discover
Cardholder's Name (Please Print)____________________________________________________
Acct #________________________________________________________________________
Signature______________________________________________________________________
Exp. Date______________________________________________________ _____________________
FOR TML OFFICE USE ONLY:
Business Check__________________________________ $___________________
Personal Check__________________________________ $___________________
Total $___________________