April 21-23, 2010

Doubletree North Austin Hotel
6506 North IH-35
Austin, Texas
(512) 454-3737

If paying by check, please make payable to "Texas Association of Counties" and mail to:

Texas Association of Counties
Attn: Education Department / CMI
P.O. Box 2131
Austin, Texas 78768

 

Conference Registration Information Please provide the requested information below. Fields shaded in yellow are required.  Registration Form Attendee First Name: Attendee Last Name: Title: County/Entity/Company: Business Email Address: Business Street Address: City: State: Please select a state below ---- Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida FPO Address Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Zip Code: Business Phone Number: (ex: 999-999-9999) Please check this box if the above is your preferred contact information for future communication from TAC.  Registration Fees Early After April 5 County officials & employees $200 $220 $245 Non-Government $500 $500 One-day registration $100 $100 Concurrent Track -- select a track -- General Management County Engineers and Road Administrators Human Resources Risk Management Payment Information Payment Method:  Bill me  Pay by credit card Card Type: -- select an option -- VISA Mastercard Card Expiration: 01 02 03 04 05 06 07 08 09 10 11 12 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019   Card Number: Card Security Code:     What's that? Name on Card: