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2013 Legislative Day
 PJAL Annual Legislative Day
 
Wednesday, May 1st, 2013
Hilton Baton Rouge Capitol Center
201 Lafayette Street
Baton Rouge, LA

LEGISLATIVE DAY REGISTRATION FORM

-----Registration Fees-----

$60.00 per Delegate/Parish Administrative Official

$35.00 per Spouse/Guest

*Fee covers continental breakfast, transportation, and lunch*

Reservations: A block of rooms has been made available for Tuesday, April 30, 2013.
1-800-955-6962 or 225-344-5866
Ask for LA Police Jury Rate of $139.00 or go to www.hiltoncapitolcenter.com
*Reservation cut-off date is Sunday, March 31st *
 
 
Registration:    Heidelberg Ballroom    8:00am
 
 
Legislative
Update:              Heidelberg Ballroom     9:00-10:00am
 
 
State Capitol
Visit:                    Shuttle Service to and from Capitol
                                10:00am-1:00pm
 
 
Buffet Lunch:   Heidelberg Ballroom     11:30am-1:00pm
                  (Bring your legislator)
Make all checks payable to: Police Jury Association of Louisiana
Mail all checks to: Police Jury Association of Louisiana, 707 North 7th Street, Baton Rouge, LA 70802-5327
PLEASE SEND REGISTRATION BY FRIDAY, April19, 2013

**Instructions for completing this form:  Make a copy of this form before completing.  Please print or type all information.  List names as they should appear on identification badges.  Please include title, i.e. Juror, President, Etc.  Please indicate Mr., Mrs., Ms., or Miss before each name.  Keep a completed copy of this form for your records.  Mail this form back adn registration fee to the PJAL address listed above.**

 

          Delegate Name         

      Title     

   Spouse/Guest's   
   Name  
Delegate
Amount Due
Spouse's/Guest's
 Amount Due
    Total    
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $
$
                                                                                                        
                                                                                                         Grand Total:        $                              $                                        $
 
Hotel:_________________________________
 
Parish:________________________________
 
Date:________________     Signature:__________________________
 
 
Date:  Wednesday, May 1, 2013
 Add to Outlook
Time:  08:00 AM - 01:00 PM
Central Time

 

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