Please print clearly. All information must be provided! Name: Company/Association: Address: City: Zip: Phone: Fax: Email:
Please check each event you will be attending; all prices are per person. SUNDAY, APRIL 28th, 2013 ❏ Education Sessions – $75 on or before 4/12 – $85 after 4/12 ❏ DINE with the Delegates All Invited, No-host Bar – $75 MONDAY, APRIL 29th, 2013 20th ANNUAL LEGISLATIVE DAY AT THE CAPITOL ❏ Board Member, Homeowner or Manager
– $75 on or before 4/12 – $85 after 4/12
❏ Industry Service Provider – $150 on or before 4/12 – $160 after 4/12 ❏ CAI Chapter Executive Directors -Free I am a Manager or Board Member interested in being sponsored to attend Leg Day on: ❏ ONLY Sunday, April 28th for the Education Sessions ❏ ONLY Monday, April 29th for the bill briefing and Legislative Visits ❏ BOTH Sunday and Monday, April 28th & 29th ❏ I WILL be attending the Reception/Debriefing Session ❏ I WILL NOT be attending the Reception/Debriefing Session
Total Amount Due: $
❏ Please make an Appointment with my legislators
You must register by April 19, 2013 if you would like a legislative appointment to be set by CAI-CLAC.
Assembly Member:
District #
Senator: District # Required
Home Address:
Please make checks payable to CAI-CLAC and mail with this form to: CAI-California Legislative Action Committee 5355 Parkford Circle, Granite Bay, CA 95746 Telephone: (916) 791-4750 Fax: (916) 772-3781 E-mail: ahoc@surewest.net If paying by credit card, please go to www.caicalif.org under “Upcoming Events.”