Pennsylvania State Association of Township Supervisors

April 22-25
Hershey Lodge in Hershey, PA

SECTION I. CONVENTION REGISTRATION
Use a separate form for each registrant. Guests can register using the same form as the registrant. Please type names as you want them to appear on name badges.

Position/Title
Supervisor Secretary Treasurer Secretary/Treasurer Manager Road/Public Works	Solicitor Engineer Planner Spouse or Guest Other: Other township employee or other local government employee.

Print name as you want it to appear on badge. (Print spouse’s name, if applicable, in space indicated below):
Name
Guest Name (E.G. SPOUSE, SIGNIFICANT OTHER, CHILDREN)
Township
County
Firm
Address
City
State
Zip
Phone Number
Fax Number
E-Mail
Signed
Is this registrant a voting delegate for the township?	Yes No

SECTION II. ROOM RESERVATIONS must be made through PSATS. Refunds will be governed by the cancellation policies below. All rooms are non-smoking unless otherwise requested. Each room requires a $200 deposit. Requests for handicappedaccessible rooms will only be considered if accompanied by a completed "PSATS Disability Lodging Request" form.

Arrival Date
Departure Date
Other Room Occupant's Name(s)
Occupancy	No Room 1 Bed ($200 Deposit) 2 Beds ($200 Deposit) 2 Beds & 1 Cot ($200 Deposit)
Special Needs	Smoking Room ADA-accessible room
Note: If you will be traveling with someone from another township and want to stay at the same hotel, please provide the following:
Person's Name
Township
County

SECTION III. HOTEL PREFERENCE Please rank your top 10 hotel choices (1 being most preferred) below. Numbers in parentheses correspond to the hotels’ location on the enclosed map. All hotel requests will be assigned by lottery. Deadline to be included in the lottery is January 22, 2007.

ADDEY'S INN (01) BEST WESTERN INN (02) CHOCOLATETOWN MOTEL (03) COCOA FLATS (04) COMFORT INN (05) DAYS INN & SUITES (06) HAMPTON INN (07) HERSHEY LODGE (08) HILTON GARDEN INN (09) HOLIDAY INN EXPRESS (10)	HOLIDAY INN - GRANTVILLE (11) HOLIDAY INN - HARRISBURG (12) HOTEL HERSHEY (13) QUALITY INN & SUITES (14) RODEWAY INN (15) SHERATON HBG/HERSHEY (16) SIMMONS MOTEL (17) SPINNERS INN (18) SPRING HILL SUITES MARRIOTT (19) WHITE ROSE (20)
If we are unable to assign you to one of the hotels you choose, should we assign you to any available hotel?	Yes No

SECTION IV. REGISTRATION FEES (per person)

	Registrant	Spouse/Guest
Through Jan. 22:	$125	$80
Jan. 23 through March 31:	$135	$90
After March 31:	$150	$90

Registration(s)	$
Spouse/Guest Registration(s)	$
Sunday Eve. Dinner & Social Persons @ $36/each # Chicken # Pork Loin # Halibut	$
Sunday Golf ($95 for registrants/guests, $150 for all others)	$
Guests' Programs #1 Harley-Davidson Factory Tour, York ($40) #2 Ephrata Cloister/Landis Valley Museum, Lancaster County ($68) #3 Rainbow Dinner Theater, Lancaster ($70) #4 Pennsylvania Bingo, Hershey Lodge ($20)	$
Engineers Seminar Engineers Assn. Members (free) Non-Members ($95)	$
Planners Seminar Planners Assn. Members (free) Non-Members ($95)	$
Solicitors Seminar Solicitors Assn. Members (free) Non-Members ($95) Attorney ID Number CLE Credits two days ($60) one day ($30)	$
Room Deposit (if applicable) - $200/room	$
Sunday Workshops (details here) Basic Training for Municipal Secretaries and Administrators ($50) Managing Your Municipality: Helpful Checklists for Secretaries and Managers ($50) Building Code Official (BCO) Certification Course and Examination ($195 for course and exam) Building Code Official (BCO) Examination ($75 for exam only) Duties of a Planning Commission ($25) Effective Supervision ($25) Is Your Municipality UCC Compliant? ($50) A Guide to the UCC Appeals Process ($50) Communication and Conflict ($25) Communication and Conflict with IMSCA credits ($35) Financing Your Future: Linking the Comprehensive Plan to the Municipal Budget Through Multi-Year Planning ($25) NIMS – National Incident Management System IS 700 Training ($25) Tractor/Mower Operator Safety Training ($65)	$
2007 Municipal Road Maintenance Symposium ($50)	$
TOTAL ENCLOSED FOR ALL FEES	$

Credit cards accepted. For more information on the convention, call the State Assocaition
at (717) 763-0930
Fax: (717) 763-9732

Cancellation Penalties:
Cancellations received prior to April 8 are subject to the following penalties:
Registrant: $35
Spouse/Guest: $15
Cancellations received after April 8 forfeit the full registration fee.