1775 Eye Street, NW, Suite 1150
Washington, DC 20006
http://ncdaonline.org

Download the NCDA W-9 Form

INVOICE

Date: <%= request.querystring("regdate") %>

Invoice #: <%= request.querystring("invoice") %>

NCDA Tax I.D. Number: 52-1197647

Terms: Due on receipt

To:

<%= request.querystring("fname") %> <%= request.querystring("lname") %>
<%= request.querystring("title") %>
<%= request.querystring("agency") %>
<%= request.querystring("address1") %>
<% If request.querystring("address2")="" then %> <% Else %> <%= request.querystring("address2") %>
<% End If %> <%= request.querystring("city") %>, <%= request.querystring("state") %> <%= request.querystring("zip") %>

Description:

2017 Winter Legislative, Policy and Professional Development Meeting
February 15-17, 2017
Washington, DC
Holiday Inn Capitol

Rate: $<%= request.querystring("payamount") %>

Please remit to:

NCDA
1775 Eye Street, NW
Suite 1150
Washington, DC 20006