2017 Legislative Day

FOR A PDF COPY OF THE LEGISLATIVE DAY REGISTRATION FORM, CLICK HERE

Wednesday, May 3, 2017

Hilton Baton Rouge Capitol Center (201 Lafayette St.)

Hilton Phone: 225-344-5866

Baton Rouge, LA


LEGISLATIVE DAY REGISTRATION FORM

-----Registration Fees-----

$95.00 per Delegate/Parish Administrative Official

$45.00 per Spouse/Guest

*Fee covers continental breakfast, transportation, and lunch*

Reservations: A block of rooms has been made available for Tuesday, May 2, 2017 

Tax exemption status must be established prior to function.

Room rate: $151.00

For phone reservations -800-955-6962----reference Police Jury Association

*Reservation cut-off date is April 18, 2017*

Transportation: Shuttle will run to and from Hilton and Capitol

Registration: 8:00am Hiltonís Heidelberg Ballroom 10th Floor

Legislative

Update: 9:00-10:00am Heidelberg Ballroom

State Capitol

Visit: 10:00am-1:00pm Shuttle provided

Buffet Lunch: 11:30am-1:00pm Heidelberg Ballroom (Bring your legislator)

Make all checks payable to: Police Jury Association of Louisiana

Mail all checks to: Police Jury Association of Louisiana, 707 North 7th Street, Baton Rouge, LA 70802-5327

PLEASE SEND REGISTRATION BY April 19, 2017

To complete form below, please print or type all information.  List names as they should appear on identification badges.

Please include title (Juror, President, Dr., Mr., Mrs., Ms., Miss, etc.)  Keep a completed form for your records. 

Mail the form and registration fee to the PJAL Office. (707 North 7th Street, Baton Rouge, LA 70802)


Delegate Name                  
Title
Spouse/Guest's Name
Delegate
Amount Due
Spouse/Guest
Amount Due
Total Amount
Due



$
$
$



$
$
$



$
$
$



$
$
$



$
$
$



$
$
$


GRAND TOTAL

$
+
$
=
$

For Office Use Only:  Fee CK'd:             CK Amount:                    CK No.:                      Badge:             Copied:


   

 

© Copyright 2017, Police Jury Association of LA. All rights reserved.