14TH ANNUAL INFRASTRUCTURE FINANCE CONFERENCE
Isleta Resort, Albuquerque - October 27 - 29, 2009
ADVANCE REGISTRATION FORM
Please fill out form completely ( print or type) *Spouse/Guest Registration: (Must be paid in advance or on site—no billing
for Spouse/Guest)
Name / Title
*Spouse/Guest Name, if attending
Municipality, Organization, or other Affiliation Full Conference includes all meals and social functions
Mailing Address - Include City/State/Zip Full Conference by October 19th @ $105/ person $
Full Conference after October 19th @$120/person $
Billing Address - Include City/State/Zip
Price Per Function:
Tuesday Reception @ $25/ person $
Phone Fax
Wednesday Luncheon @ $30/ person $
Email Address Wednesday Social @ $25/ person $
Please Appropriate Box:
Thursday Awards Breakfast @ $25/ person $
Full Conference Registration: (Includes all meals)
Registration by October 13th $175 TOTAL DUE $
Late Registration after October 14th – 19th $190
I Prefer Vegetarian Meals
On Site Registration after October 19th $220
(On Site Registrants must have PO# or pay on site)
ADA/Special Needs: Contact Anita Tafoya or Jackie Portillo @ 800-432-2036.
I Prefer Vegetarian Meals
Guest/Spouse Registration Fee Payment Information:
ADA/Special Needs: Contact Anita Tafoya or Jackie Portillo @ 800-432-2036.
Check for registration fees made payable to NMML.
Registration Fee Payment Information: (Please include Guest/Spouse name on check/stub)
Check for registration fees made payable to NMML. Enclosed Will bring to Meeting
(Please include registrant’s name on check/stub.) Purchase Order for Registration Fees attached
Enclosed Will bring to Meeting or provide PO#:
Purchase Order for Registration Fees attached Charge my registration fees to VISA or MasterCard listed below. The
or provide PO#: New Mexico Municipal League is authorized to use the card below to
Charge my registration fees to VISA or MasterCard listed below. The pay all applicable registration fees in the amount of: $
New Mexico Municipal League is authorized to use the card below to
pay all applicable registration fees in the amount of: $ VISA/MasterCard # (Circle one) Exp. Date
VISA/MasterCard # (Circle one) Exp. Date Card Holder Name (Printed)
Card Holder Name (Printed) Card Holder Signature
Card Holder Signature
- REGISTRATION CANCELLATION POLICY -
PLEASE COMPLETE THIS FORM AND After October 19th you must register on site. All requests for cancellation
MAIL/FAX BY OCTOBER 19TH TO: must be received in writing by October 19, 2009. Cancellations received
after October 13th will be charged a $50.00 cancellation fee. No refunds
Cherise Quezada - New Mexico Municipal League will be given after October 19th. No registrations or cancellations will be
P.O. Box 846 - Santa Fe, NM 87504-0846 accepted by telephone. No partial refunds will be made if you decide not to
Fax # 505-984-1392 attend particular functions. If you have preregistered and do not attend
without cancelling your registration, you are responsible for full conference
OR REGISTER ONLINE AT www.nmml.org
registration fee. This policy also applies to Guest/Spouse registrants.