**STAKEHOLDER REGISTRATION INFORMATION**

# **Airports Capital Improvement Planning & Environmental Conference**

#### Doral Hotel and Golf Club, 3300 Championship Parkway, Fort Worth, Texas 76177

**(817) 961-0800**

#### November 8, 2005

**[Fees:]{.underline}**

Conference Participant Registration Fee is **[\$85]{.underline}** and
includes reception on November 7 and continental breakfast, breaks, and
lunch on November 8.

## Watch our Website for Conference Updates: http:www.faa.gov/arp/asw

*Please print in ink or type. Use the name you wish to have included on
your name tag. This form may be duplicated for additional
registrations.*

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##### Name Title Telephone

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##### Company Fax

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Street Address Email

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City State Zip Include ny address/phone on attendee listing

-   **ALL FEES MUST BE PAID BY NOVEMBER 7, 2005. [NO REGISTRATION AT THE
    DOOR!]{.underline}**

*Your payment, in full, must accompany your registration form. Email and
Fax registrations must include payment information. **The Doral Hotel
and Golf Club is handling all payments.***

**ONE STOP PAYMENT NOW AVAILABLE!!!!!**

**Please check all that apply:**

**\_\_\_\_ Conference Registration**

> Registration includes continental breakfasts, breaks, lunches and
> reception: Fees are:
>
> Paid by 10/31 After 11/1
>
> \$ 85 \$ 110.00

**\_\_\_\_\_\_Lodging (per room)\***

**\_\_\_\_\_Night of Monday, November 7, 2005, \$109 + 15% tax
(\$125.35)**

**\_\_\_\_\_Night of Tuesday, November 8, 2005, \$109 + 15% tax
(\$125.35)**

**List any special
requests\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

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The Doral Hotel and Golf Club may charge my fee of
\$\_\_\_\_\_\_\_\_\_\_ to my

\_\_\_American Express \_\_\_ Discover \_\_\_ MasterCard \_\_\_ Visa
\_\_\_\_ Diners Club \_\_\_\_ Carte Blanche

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Cardholder's name (please print) Cardholder's signature

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\_\_ \_\_ \_\_ \_\_/\_\_ \_\_

Card number Expiration date: mo/yr

*(Credit card charges cannot be processed without signature and
expiration date.)*

Cancellation Policy: Refunds of full registration fee will be made for
cancellations received in writing by November 1, 2005. After that, the
individual or organization will be responsible for the fee. No telephone
cancellations will be accepted. Anyone registered who cannot attend may
send a substitute.

**[Mail Payment to:]{.underline}** Rea Ledesma, Doral Hotel and Golf
Club, 3300 Championship Parkway, Fort Worth, Texas 76177

Make checks payable to the Doral Hotel and Golf Club

**[FAX Payment to:]{.underline} [EMAIL Payment to:]{.underline}**

**Rea Ledesma [Rea.Ledesma@ihrco.com]{.underline}**

**(817) 961-0900**

Note: You can also pay for your lodging at this time. Please specify
what your payment includes. Call Rea Ledesma at (817) 497-3032 with
questions.

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  Contact us at (817) 222-5600 by October 21, 2005, if you require
  special accommodation at the conference.

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**[Lodging:]{.underline}**

The Doral Hotel and Golf Club has set aside a block of rooms at the rate
of **\$109.00** per day (plus applicable taxes) until [**October 24,
2005**.]{.underline} You may make reservations by calling the Doral at
**(817) 961-0800**. We suggest that you make your reservations early.
Please say that you are with the FAA Conference. The Doral Hotel and
Golf Club offers unique conference and recreation opportunities. Just 15
miles north of downtown Fort Worth and 20 minutes from DFW Airport, the
hotel is next door to The Texas Motor Speedway and adjacent to an
18-hole championship golf course redesigned by Jay Moorish. This upscale
hotel offers free parking, on-site health club, the Heavenly Bed,
dual-line telephones with voice messaging, large work desk, in-room data
port, complimentary Starbucks coffee, On-Command movies, safe and
minibar.

**[Special Accommodation:]{.underline}**

**Other Questions**: Contact Faye Nedderman at (817) 222-5656 or
<faye.nedderman@faa.gov>.