Allegheny League of Municipalities · 2022 Educational Conference Registration

Contact Information

Municipality/Authority/Company

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Contact Name

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First Name

Last Name

Job Title

Contact Email

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Contact Phone

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Municipality, Company, or Organization Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Registration Summary

Please use the fields below to provide a summary of the conference registration for the entirety of the party you are registering right now. You are more than welcome to add guests later, and if you should need to make changes to the information below at at later date ALOM will be happy to accommodate you.

Note: completion of this form without credit card payment will NOT result in completed conference registration. A credit card is required to complete this form. If you prefer to pay by check, please contact our office (412-261-2521) and request hard copy forms to mail in with a check to complete registration. The only online registrations accepted without credit card payment will be for Banner Community Scholarship recipients.

Additional Note: Conference Exhibitors and Presenting Sponsors should contact our office before completing this form.

Total # Requiring Conference Registration

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How many will require conference registration?

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Total # of Guests/Spouses

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How many Guests/Spouses will be attending?

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Total # of Hotel Room Reservations

*

For reference use only. Hotel reservations must be completed separately and you'll be provided the link after submission of this form.

How many hotel rooms will be required?

*

Registration Type

Please note, the Banner Community Scholarship option is only available to those communities that were recognized as a 2021 Banner Community. ALOM staff will cross-check all municipalities that utilize this option to ensure they were recognized as such. If you have are uncertain if your municipality or authority was a 2021 Banner Community, reach out to the ALOM office and we can confirm.

Fees are based on ALOM Membership or Non-Membership status. If your Municipality, Company or Organization has not paid dues to ALOM for the 2022 calendar year, you will not be eligible for the membership prices. *	Quantity
$350 - Full Conference - ALOM Member Delegates
$175 - One Day - ALOM Member Delegate or Nonprofit Organization
$200 - One Day - Associate Member Vendor
$225 - One Day - Non-Member Vendor
$0 - Banner Community Scholarship

Note on Lodging

Please note that lodging is given based on a first-come, first-served policy, and that special lodging requests cannot be guaranteed by ALOM or Seven Springs. The best way to ensure your municipality or company receive their lodging choices is to reserve your room as soon as possible. The main hotel did sell out in 2019.

If the main hotel lodging should become completely booked, Seven Springs will automatically move guests to the condominiums, which will be given as lodging at the conference block rate. Guests can elect if they would voluntarily lodge in a condo, at the conference block price, should that option be available. This is not a guarantee, but an effort to accommodate as many guests as possible. For any attendee that would be willing to do this, please mark the designated box below.

Individual Registrants

Please use the following fields to provide information on each attendee you are registering at this time. It is important to note that food and lodging accommodations are separate, and after completion of this form you will receive an auto-confirmation with the link to Seven Springs' food and lodging packages.

Attendee 1 Name

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First Name

Last Name

Guest 1 Name (if applicable)

First Name

Last Name

Attendee 1 Registration Type

*

Attendee 1 Email

*

Condo Option

Check here if Attendee 1 would voluntarily be willing to lodge in a condo at the conference block price if the main hotel becomes sold out

Attendee 2 Name

*

First Name

Last Name

Guest 2 Name (if applicable)

First Name

Last Name

Attendee 2 Registration Type

*

Attendee 2 Email

*

Condo Option

Check here if Attendee 2 would voluntarily be willing to lodge in a condo at the conference block price if the main hotel becomes sold out

Attendee 3 Name

*

First Name

Last Name

Guest 3 Name (if applicable)

First Name

Last Name

Attendee 3 Registration Type

*

Attendee 3 Email

*

Condo Option

Check here if Attendee 3 would voluntarily be willing to lodge in a condo at the conference block price if the main hotel becomes sold out

Attendee 4 Name

*

First Name

Last Name

Guest 4 Name (if applicable)

First Name

Last Name

Attendee 4 Registration Type

*

Attendee 4 Email

*

Condo Option

Check here if Attendee 4 would voluntarily be willing to lodge in a condo at the conference block price if the main hotel becomes sold out

Attendee 5 Name

*

First Name

Last Name

Guest 5 Name (if applicable)

First Name

Last Name

Attendee 5 Registration Type

*

Attendee 5 Email

*

Condo Option

Check here if Attendee 5 would voluntarily be willing to lodge in a condo at the conference block price if the main hotel becomes sold out

Attendee 6 Name

*

First Name

Last Name

Guest 6 Name (if applicable)

First Name

Last Name

Attendee 6 Registration Type

*

Attendee 6 Email

*

Condo Option

Check here if Attendee 6 would voluntarily be willing to lodge in a condo at the conference block price if the main hotel becomes sold out

Attendee 7 Name

*

First Name

Last Name

Guest 7 Name (if applicable)

First Name

Last Name

Attendee 7 Registration Type

*

Attendee 7 Email

*

Condo Option

Check here if Attendee 7 would voluntarily be willing to lodge in a condo at the conference block price if the main hotel becomes sold out

Attendee 8 Name

*

First Name

Last Name

Guest 8 Name (if applicable)

First Name

Last Name

Attendee 8 Registration Type

*

Attendee 8 Email

*

Condo Option

Check here if Attendee 8 would voluntarily be willing to lodge in a condo at the conference block price if the main hotel becomes sold out

Attendee 9 Name

*

First Name

Last Name

Guest 9 Name (if applicable)

First Name

Last Name

Attendee 9 Registration Type

*

Attendee 9 Email

*

Condo Option

Check here if Attendee 9 would voluntarily be willing to lodge in a condo at the conference block price if the main hotel becomes sold out

Attendee 10 Name

*

First Name

Last Name

Guest 10 Name (if applicable)

First Name

Last Name

Attendee 10 Registration Type

*

Attendee 10 Email

*

Condo Option

Check here if Attendee 10 would voluntarily be willing to lodge in a condo at the conference block price if the main hotel becomes sold out

Additional Registrants

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Please list any additional registrants in this field. Include the name of any guests that will be attending with them, their email, as well as their Registration Type.