NHCSL - National Hispanic Caucus of State Legislators rhina@nhcsl.org 202 434 8070
NHCSL is the preeminent organization serving and representing the interests of Hispanic state legislators from all states, commonwealths, and territories of the United States. Our mission is to serve as a catalyst for joint action on issues of common concern to all segments of the Hispanic community; a forum for information exchange and member networking; an institute for leadership training; a liaison with sister U.S. NHCSL - National Hispanic Caucus of State Legislators http://nhcsl.org/img/layout/logo.png US United States Washington 20001 444 North Capitol Street, NW, Suite 40

General Registration

Online registration will be closed on November 9th, 2016

Dress code for all events is business attire and all events will take place at SHERATON WAIKIKI HOTEL unless otherwise specified

We highly encourage you to register early as space will be limited.

Contact Information

Last Name   First Name
Title   Organization/Affiliation
Address   City
State   Zip Code
Phone: (area code)   Mobile: (area code)
Fax: (area code)   Email:
How would you like your name to appear on your name badge? (NHCSL badge is required at all times to grant access to conference events)
Do you have any special physical, dietary, or other needs, if yes, please describe:
Executive Assistant Information (if applicable)
Last Name   First Name
Phone: (area code)   Email:
         
Registration   CORPORATE   NON-PROFIT/GOVERNMENT
Full Registration (Includes all activities & meal events) $650.00 $500.00
One Day Registration (Includes all activities & meal events) $325.00 $250.00
One Event Registration $175.00 $150.00
SHERATON WAIKIKI HOTEL ROOM RESERVATION
2255 KALAKUA AVE, HONOLULU, HI 96815
NHCSL Group Rate: $225 +taxes (13.962% tax)
I will require hotel reservations for the evening(s) of:
(Please check all nights that apply
)
TUES, DECEMBER 6TH   WED, DECEMBER 7TH   THURS, DECEMBER 8TH
Room Preference:
(Room type is on a request basis and is not guaranteed)
King Bed   2 Double Beds
Comments and/or special requests:
Tentative Schedule of Events
For accurate headcount, please indicate all events you plan to attend  
TUESDAY, DECEMBER 6TH
  Time Info
    1:00 PM - 5:00 PM Summit Registration
  3:00 PM - 4:00 PM Policy Committee Meeting (Legislators only)
  5:00 PM - 6:30 PM Welcome Reception
WEDNESDAY, DECEMBER 7TH
  Time Info
  8:00 AM - 3:00 PM Summit Registration
5:30 AM - 6:30 AM To- Go Breakfast (Attendees Depart to Pearl Harbor for Ceremony at 6:30 AM)
10:45 AM - 12:00 AM Morning Session (Concurrent Sessions)
12:15 AM - 1:45 PM Luncheon Keynote Address
2:15 PM - 3:45 PM Industries Perspective Session
4:00 PM - 5:30 PM BBA Meeting
6:30 PM – 9:00 PM Host State Reception
THURSDAY, DECEMBER 8TH
  Time Info
  8:00 AM - 12:00 PM Summit Registration
8:30 AM – 10:00 AM Breakfast Session (Concurrent Sessions)
11:30 AM– 1:30 PM Annual Executive Committee & BBA Meeting
5:00 PM – 9:00 PM Noche de celebración (Reception & Dinner)
DISCLAIMER (PLEASE READ)      
Portions of this event are being generously supported & hosted by corporate entities. In agreeing to participate at this meeting, I acknowledge to be in compliance with any & all state ethics laws.
Terms & Conditions (PLEASE READ)      

Hotel Room Cancellation Policy: Hotel room reservation cancellations must be made 120 hours prior to arrival date. When I cancel my
reservations within 120 hours of arrival I will be required to pay the hotel a cancellation fee of one night’s room and tax and the hotel will cancel
my entire reservation. If I do not arrive at the hotel on the date indicated on my registration form, I will be considered a “no show”. Hotel
changes or cancellations must be submitted in writing to NHCSL.

Registration Agreement: This application is a legally binding agreement. Full payment must accompany the registration form.

CANCELLATION POLICY:
Cancellations made between October 27th and November 3rd will be charged 40% of the registration fee. Refunds
will not be given for cancellations made after November 3rd, 2016. All cancellations must be submitted by letter or email to NHCSL and
postmarked no later than November 3rd, 2016.

I have read and agree to the above terms & conditions
Your registration TOTAL $  
In order to fully process your registration, you MUST complete the information prompted in the next page
Hotel Reservation
Please complete the information below as the Hotel requires a credit card number to guarantee your reservation. In order to pay for your registration fee, you will have to complete the information prompted in the next page
Card Information: american express   visa   master card   Other  
Card #: Expiration Date:  
Name: (as it appears on the card)