ULI Los Angeles: Registration Form

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Registration Type and Fees:

Private/Publlic/YLG/Student	$250

Send me ULI Muembership Info

Registration limited to 250

Registration deadline: Friday, October 21, 2005

Refund requests must be submitted in writing no later than the date of the pre-registration deadline; refund requests will not be accepted after this date. Fax request to: 202-624-7147.

Event Date:
Monday October 31, 2005

ULI Fall Meeting Golf Classic
8115-0636

REGISTRATION FORM: ULI LA: ULI Fall Meeting Golf Classic
Payment Methods: (Please check the box indicating your method of payment)

	CREDIT CARD: FAX: 1-800-248-4585 - Fax information with completed registration form. Visa Mastercard AMEX Diners Club Discover Carte Blanche Card Number: _____________________________________Exp Date:______________ Signature:______________________________________________________________

	CHECK: CALL: 1-800-321-5011 - Telephone pre-registration is required to obtain a prepared name badge. Make Checks Payable to: ULI Los Angeles District Council Mail check with completed registration form to: ULI - the Urban Land Institute Los Angeles District Council Department 304 Washington, DC 20055-0304

	PURCHASE ORDER: (Public Agencies Only) FAX: 1-800-248-4585 - Fax copy of signed P.O. and completed registration form to obtain a prepared name badge. Payment to follow by check payable to: ULI Los Angeles District Council Mail check with Purchase Order and original registration form to: ULI - the Urban Land Institute Los Angeles District Council Department 304 Washington, DC 20055-0304

If payment has not been received prior to the pre-registration deadline date, a credit card guarantee will be required on-site. No credit card charges will be processed if payment is received within 1 week of the meeting date.

IMPORTANT: The following information must be completed:

ULI Member ID # ______________________________________

Name ________________________________________________Informal Name for Badge_______________________

Title____________________________________________________________________________________________

Company________________________________________________________________________________________

Address_________________________________________________________________________________________

City/State/Zip ____________________________________________________________________________________

Telephone___________________________Fax _______________________E-Mail*____________________________

Golf Index___________________________ Club Rental Yes/No ($45)

8115-0636 * Email is required in order to receive a confirmation*