HOW TO REGISTER HOTEL RESERVATIONS Due Wednesday, October 16, 2013

Self-Help Counties Coalition is keeping with the “GOING GREEN” theme
this year, so we are printing less materials and we ask that you register
online. However, you can complete the form below and return to the contact
information below.
Due Wednesday, October 16, 2013
Register instantly Online:
Register by Mail: Self-Help Counties Coalition
1029 K St, Suite 26, Sacramento, CA 95814
Register by Fax: 916-914-2412
Register by Email: [email protected]
Phone: 916-514-9967
Name The Westin San Diego
Ask for the 2013 Focus on the Future/Self-Help Counties
Coalition rate of $189 per night for single occupancy/$209
double occupancy.
Government rates also available. Note all reservations
booked under the government rate must show Government
ID at check-in to keep the special rate.
Address City Phone Email
Credit Card Information (We do not accept American Express)
Visa MasterCard State Card Number Zip
Expiration Date
Name on Card
Billing Address (if different from above)
REGISTRATION FEES (Please copy this form and fill out separately for each attendee.)
QR Code to Register Online
# of Attendees
Early Bird Registration Fee: Regular Registration Fee: Golf Tournament:
Goods Movement Tour: ICM Tour: Trolley Renewal Tour:
San Diego Waterfront Tour:
Gaslamp Walking Tour:
$550.00 per person (by October 18)
$625.00 per person (after October 18)
$180.00 per person
$25.00 per person (Limited to 40 people)
$25.00 per person (Limited to 40 people)
$25.00 per person (Limited to 25 people)
$25.00 per person (Limited to 30 people)
$25.00 per person (Limited to 30 people)
Total $
Make Checks Payable To:
Focus on the Future 2013/Self-Help Counties
Please make sure to include the registration form, for
each registrant, when submitting payment by check for
the total amount. This will help Self-Help Counties keep
proper records. If paying by credit card, please provide
the matching credit card billing address and exact name
on credit card.
No refunds after Friday, October 18. All cancellations
must be in writing.
Substitutions are always accepted. Conference
*The Monday Evening Fundraising Event is included in your registration fee and part of the fee registration includes most events that begin on the
will go towards the effort. Additional information will be provided for guests and sponsorships. evening of November 17 and end on November 19,
*Caltrans Employees, please contact Jenny Devine directly at [email protected] to
register at the special Caltrans rate.
conference materials and transportation to and from
the offsite tours.
There are no daily rates.