DELEGATE REGISTRATION FORM

TRB Committee A1F04 Summer Meeting, August 1-5, 1999

Doubletree Hotel Mission Valley, San Diego, Ca

Please complete this form, the Spouse/Guest Registration Form (if applicable), and the Technical Field Trip/Social Program Sign-up Sheet, and mail with your check payable to Rudy Hendriks-TRB Summer Meeting by June 30, 1999 to:

Rudy Hendriks, Mail Station 27

California Department of Transportation

P.O. Box 942874,

Sacramento, CA 94274-0001

Registration Information:

(Please Print Clearly)

First Name: ____________________ Middle Initial: _________ Last Name: _________________________

Name Preferred on Badge: _________________________Organization: ____________________________

Mailing Address: ____________________________________________________________________________

City/State/Country/Zip: ____________________________________________________________________

Phone Number: ( ____ )_____________ Fax: ( ____ )_____________E-mail: _________________________

Special or Disability Accommodations (if needed): ____________________________________________

Registration Fee:

Delegate registration is $185 and includes access to all presentations, handout materials, breaks, technical field trips, and transportation.

Reminders:

Hotel accommodations are the responsibility of the meeting participants. Information on special rates and reservations for the Doubletree San Diego Mission Valley are included in the cover letter.

If you plan to bring a spouse and/or guest(s) please fill out the Spouse/Guest Registration Form.

Don’t forget to fill out the Technical Tour/Social Program Sign-up Sheet.

Further Information:

If you need more information, or if there is anything we can help you with, please write us at the above address, or contact us at:

Rudy Hendriks (916) 653-2271; E-mail: rudy_hendriks@dot.ca.gov

Or: Joya Gilster (916) 654-6362; E-mail: joya_gilster@dot.ca.gov

Fax: (916) 653-7757

SPOUSE/GUEST(S) REGISTRATION FORM &

TECHNICAL TOUR/SOCIAL PROGRAM SIGN-UP SHEET

Spouse/Guest Registration Information (If Applicable):

(Please Print Clearly)

Spouse/Guest(s) of: (Delegate’s Name) ______________________________________________________

Spouse/Guest(s) Name(s) (First Name, Last Name):

__________________________________________________________________

Technical Tour/Social Program Sign-up Sheet (Delegate and Spouse/Guests):

The delegate’s registration fee of $185 entitles the delegate to attend all the following technical and social events at no extra cost. The technical tours are only open to delegates. The social program is open to the delegates and their spouse/guest(s) with extra fees for the spouse/guest(s). For our planning purposes, and for determining spouse/guest fees, please fill out the following:

I plan to go on the following Technical Tours (Delegate Only, check Yes or No):

San Diego Airport Tour, Monday Afternoon: Yes ___ No ___

Glass Noise Barrier Tour, Tuesday Afternoon: Yes ___ No ___

San Diego Trolley Tour, Wednesday Afternoon: Yes ___ No ___

I (we) plan to attend the following Social Events (check Yes or No):

Sunset Beach Party at Mariner’s Point, Monday Evening

Delegate: Yes ___ No ___
Spouse/Guest(s): Yes ___ No ___ (If Yes, number ___ x $16 each = ………………...$ ______

Bali Hai Buffet Dinner on Shelter Island, Tuesday Evening

Delegate: Yes ___ No ___
Spouse/Guest(s): Yes ___ No ___ (If Yes, number ___ x $30 each = ………………...$ ______

After Dinner Moonlight Harbor Cruise (2 hours) from the Bali Hai, Tuesday Evening

Delegate: Yes ___ No ___
Spouse/Guest(s): Yes ___ No ___ (If Yes, number ___ x $14 each = ………………...$ ______

Total Additional Charge for Spouse/Guest(s): $ ________

Please mail with Delegate Registration Form and a check for the appropriate amount.

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