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4855 Woodland Drive
Enola, PA 17025
Phone: (717) 763-0930
Fax: (717) 763-9732

TOWNSHIP OFFICIALS AND GUESTS:
Register now for
PSATS’ 88th Annual Educational Conference
& Trade Show

April 18-21, 2010
Hershey Lodge in Hershey, PA

Township officials, staff, and guests may register online for PSATS' 88th Annual Educational Conference & Trade Show using the form below. Payment is accepted by check or credit card. See bottom of form for details.

Registration for the Sunday workshops must be completed separately. To register for the Sunday workshops, click here.

SECTION I. CONVENTION REGISTRATION
Use a separate form for each registrant. Guests may register using the same form as the registrant. Please type names as you want them to appear on name badges. Questions? Call PSATS at (717) 763-0930.

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

Type name as you want it to appear on badge. (Type spouse’s name, if applicable, in space indicated below):
Registrant Name
Spouse/Guest Name
Township
County
Firm
Address
City
State
Zip
Phone Number
Fax Number
E-Mail
Is this registrant a voting delegate for the township? (one voting delegate per township)	Yes No

SECTION II. ROOM RESERVATIONS must be made through PSATS. Refunds will be governed by the cancellation policy below. All rooms are non-smoking unless otherwise requested. Each room requires a $100 deposit. Requests for wheelchair-accessible 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)
Room Type	No Room 1 Bed ($100 Deposit) 2 Beds ($100 Deposit)
Special Needs	Smoking Room (if available) Wheelchair Accessible Room* *Requests for wheelchair-accessible rooms must be accompanied by a completed PSATS Disability Lodging Request Form. Click here to complete and submit the form.
Note: If you will be carpooling 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. The numbers after each name correspond to the hotels’ location on the conference map. Click here to see map.

All hotel requests will be assigned by lottery. Deadline to be included in the lottery is January 22, 2010.

BEST WESTERN INN (01) CHOCOLATETOWN MOTEL (02) COMFORT INN (03) DAYS INN HERSHEY (04) HAMPTON INN (05) HERSHEY LODGE (06) HILTON GARDEN INN - HARRISBURG(07) HILTON GARDEN INN - HERSHEY(08) HOLIDAY INN EXPRESS (09)	HOLIDAY INN - GRANTVILLE (10) HOMEWOOD SUITES BY HILTON (11) HOTEL HERSHEY (12) HOWARD JOHNSON INN HERSHEY (13) MAIN STAY SUITES (14) QUALITY INN & SUITES (15) RODEWAY INN (16) SIMMONS MOTEL (17) SPRING HILL SUITES by MARRIOTT (18) WHITE ROSE MOTEL (19)
If none of your preferences are available, may we book you at any available hotel?	Yes No

SECTION IV. REGISTRATION FEES (per person)

	Member	Spouse/Guest
After Mar. 31	$190	$95

A.	Registration(s)	$
B.	Spouse/Guest Registration(s)	$
C.	Room Deposit (if applicable) - $100/room	$
D.	Sunday Eve. Dinner and Dance Persons @ $45/each # Chicken # Pork # Halibut	$
E.	Monday Capitol Tour - Registration required - indicate choice: # for 3:00 p.m. Tour # for 3:30 p.m. Tour # for 4:00 p.m. Tour	FREE
F.	Monday Legislative Reception: (If you register for a Capitol Tour, you will automatically be registered to attend the Legislative Reception) # attending	FREE
G.	Sunday Golf Conference Registrants - $110 Others - $160	$
H.	Guest Programs #1 Monday - King of Prussia - $25 #2 Tuesday - Lancaster - $95 #3 Tuesday - Philadelphia - $40 #4 Wednesday - Bingo - $25	$
I.	Engineers Seminar Association member and attending conference - $25 Not association member but attending conference - $75 Association member but not attending conference - $125 Not association member and not attending conference - $175 Planners Seminar Association member and attending conference - $25 Not association member but attending conference - $75 Association member but not attending conference - $125 Not association member and not attending conference - $175	$
J.	Solicitors Seminar Solicitors Assn. Members (free) Non-Members ($95) Association member but not attending conference ($165) Not association member and not attending conference ($195) Attorney ID Number CLE Credits (2 CLE credits per day) one day ($30) Check which day attending: Monday Tuesday two days ($60)	$
K.	TOTAL ENCLOSED FOR ALL FEES	$

Visa and Mastercard accepted. For more information on the conference, call the State Association at (717) 763-0930; fax: (717) 763-9732.