This document provides information about registering for the 2012 National Defender Investigator Association conference to be held from April 19-20, 2012 at the Grand Hyatt Atlanta in Atlanta, Georgia. It includes details on registration fees, payment options, hotel reservations, and a confidentiality pledge that must be signed acknowledging the privileged nature of materials that will be distributed.

1. 2012 NDIA REGISTRATION <br />National Defender Investigator Association<br />2012 National Conference<br />Grand Hyatt Atlanta - Buckhead<br />3300 Peachtree Road<br />Atlants, GA 30305<br />www.grandhyattatlanta.com<br />404-237-1234 for Hotel Reservations $133 per diem room rate (Refer to NDIA Group Meeting)<br />APRIL 19-20, 2012 <br />(Federal Day Training April 18 – Make Reservations through FJC or check with your AO) <br />Name:__________________________________ Agency/Firm:__________________________________________<br />Address:__________________________________________________________ New Address? Yes No <br />City:__________________________________________________________ State:________ Zip:___________<br />Phone: ( )_____________________ Fax: ( )__________________ Cell: ( )_______________________<br />2012 NDIA Member? Yes No E-Mail:____________________________________________________<br />Schedule of Fees<br />Pre-Registration before 4/04/12:<br /> $225 2012 Member<br /> $300 Non-member<br /><br />Registration AFTER 4/04/12: <br /> <br /> $260 2012 Member $340 Non-Member<br /> <br />Total amount closed: $ ______________ Check Enclosed Agency Voucher Enclosed PO #_____________<br />Charge my: Visa Mastercard AmEx Discover<br />Account Number: _____________________________________________________ Exp. Date: _____________<br />Signature:________________________________<br />(NOTE: There is a $35 fee for checks returned for insufficient funds or credit card declines)<br /> <br />Please make check payable to: NDIA <br />Mail to:<br /> NDIA, Beverly Davidson<br />460 Smith Street, Ste. K, Middletown, Ct 06457<br />NDIA Tax ID# 85-043-5581 <br />Individuals must make their own hotel reservations – no later than April 4, 2012 to get the per diem rate of $133<br />Reservations will be taken on a first come first serve basis. CUT OFF DATE FOR RESERVATIONS AT PER DIEM RATE IS April 4, 2012. Space is limited, so get your reservations in early. For reservations, call the Hyatt at 404-237-1234 and identify yourself as being with the NDIA in order to receive the prevailing government rate of $133 per night. Call Beverly Davidson at NDIA for further information, Phone 860-635-5533, Fax 866-668-9858, nationaldefender@gmail.com. <br />CONFIDENTIALITY PLEDGE: <br />This pledge MUST be read and signed before NDIA will be able to process to process your registration!<br />I hereby acknowledge that materials and information provided in this packet, at this seminar and on the CD Rom are confidential information and may not be disclosed except to other defense practitioners. This information reflects thoughts, opinions, impressions and strategies with regard to previous and ongoing cases and as such, is protected under the attorney-client privilege and work product doctrine. The materials provided at the seminar and on this CD Rom are licensed to participants for use in defense of criminal cases only, and any other use or distribution is a violation of copyright laws and the attorney's ethical obligation. By signing this pledge, I agree to abide by this understanding and to keep all information privileged. My signature also indicates that I am involved in the defense of persons accused in criminal cases. <br />Signature _________________________________________________ Date _______________________<br />