Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Backup Documents 02/12/2013 Item #16G 3
ORIGINAL DOCUMENTS CHECKLIST & ROUTING S I G3 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT T THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGN Print on pink paper.Attach to original document.Original documents should be hand delivered to the Board Office.The completed routing slip and original documents are to be forwarded to the Board Office only after the Board has taken action on the item.) ROUTING SLIP Complete routing lines#1 through#4 as appropriate for additional signatures,dates,and/or information needed.If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#4,complete the checklist,and forward to Sue Filson(line#5). Route to Addressee(s) Office Initials Date (List in routing order) 1. 2. 3. 4. Jeff Klatzkow County Attorney 5. BCC Office Board of County Commissioners 6. Minutes and Records Clerk of Court's Office ~--Tr 2(6113 PRIMARY CONTACT INFORMATION (The primary contact is the holder of the original document pending BCC approval.Normally the primary contact is the person who created/prepared the executive summary.Primary contact information is needed in the event one of the addressees above,including Sue Filson,need to'contact staff for additional or missing information.All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the item.) Name of Primary Staff Debbie Brueggeman Phone Number (239)642-7878 Ext. 34 Contact C3..��tio c qty Agenda Date Item was February 12,2013 \ Agenda Item Number 16G3 Approved by the BCC Type of Document Travel Request for Chris Curry Number of Original 1 Attached Documents Attached INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. This includes signature pages from ordinances, resolutions,etc. signed by the County Attorney's Office and signature pages from contracts,agreements,etc.that have been fully executed by all parties except the BCC 1 Chairman and Clerk to the Board and possibly State Officials.) 2. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A Office and all other parties except the BCC Chairman and the Clerk to the Board 3. The Chairman's signature line date has been entered as the date of BCC approval of the document or the final negotiated contract date whichever is applicable. - 4. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's r signature and initials are required. �F� 5. In most cases(some contracts are an exception),the original document and this routing slip should be provided to the BCC office within 24 hours of BCC a proval. Some documents are time sensitive and require forwarding to Tallahassee with' a certain time frame or the �`� BCC's actions are nullified.Be aware of your deadlines! 6. The document was approved by the BCC on_02-12-13 (enter date) and all cha Y� made during the meeting have been incorporated in the attached document.T e _ 10:40,0m); County Attorney's Office has reviewed the changes,if applicable. �A I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05,Revised 9.18.09 16G3 MEMORANDUM Date: February 19, 2013 To: Debbie Brueggeman, Operations Coordinator Collier County Airport Authority From: Ann Jennejohn, Deputy Clerk Minutes & Records Department Re: A Travel Request for Collier County Airport Authority Executive Director Chris Curry to attend the Florida Airport Council's 2013 State Summit in Tallahassee, FL Attached for your records, is a signed copy of the travel request referenced above, (Item #16G3) approved by the Board of County Commissioners on Tuesday, February 12, 2013. If you have any questions, please feel free to call me at 252-8406. Thank you. Attachment Q 16G3 G 3 . m z Q=. Q VI 11 )litior Hoc ob � � pp Q C•-• V PO EA1 - O m R A. Td oil ie s 0 0 OA z x 3,.I Q C N N Q• Q a A 0 a 4® ¢., 1 ti L) tt a o ° a• P64. '1- 00 © g .. °. w Q N 3 ti cn E4 U R Z . c u 69 AI x. A rl W w = : a) 0 M 69 . . N ,., Q W C� w t .� :,, N O z O e� U .. - V w Illilb° �` � j r.., ,N � t ' �U U ° M N M o O i ° is 0,., 1 a II N W • - 0 • e i.Z O - p QA A A v r r ' - W W A •p a a �0 ap - a) ev ct Cdr)41), „..,,, ..4 Ct c.) N g O O Q b.. i H A H Ai h a A t:4 4 ad' A 0. A vQ0 Zate Details- 2 QUEEN BEDS-NONSMOKING Page 1 of Hilton 1 G 3 + DoubleTree b y ton Hotel Tallahassee Rate Details Best Available Rate Room: 2 QUEEN BEDS-NONSMOKING DATE Price per night TAX TOTAL(USD) 11 Feb 2013 189.00 23.63 212.63 12 Feb 2013 189.00 23.63 212.63 6 0 0 Room Subtotal: 425.25 ! IrCcSS LI 410 Rules & Restrictions Taxes • 5.00%per room per night `f 4-' • 7.50%per room per night , Guarantee Policy ��_ �..._.. . ._._.__..._�.0 There is a Credit Card required for this reservation. If you use a debit/credit card to check in,a hold may be placed on your card account for the full anticipated amount to be owed to the hotel, including estimated incidentals,through your date of check-out and such hold may not be released for 72 hours from the date of check-out or longer at the discretion of your card issuer. Cancellation Policy If you wish to cancel, please do so 24 hours prior to arrival to avoid cancellation penalties. At check in,the front desk will verify your check-out date. Rates quoted are based on check-in date and length of stay. Should you choose to depart early, price is subject to change. We reserve the right to cancel or modify reservations where it appears that a customer has engaged in fraudulent or inappropriate activity or under other circumstances where it appears that the reservations contain or resulted from a mistake or error. Totals listed here are estimated based on current taxes and exchange rates(if applicable)and do not include additional fees/charges that may' be incurred during your stay. Services provided for an additional charge • Parking charges: Self parking-$8.00.Valet parking-$12.00 • In-Room Wired Internet:$9.95, Complimentary for HHonors Gold&Diamond ittps://secure3.hilton.com/en_US/dt/reservation/book.htm?execution=e 1 s5 1/25/201: )riving Directions from 2005 Mainsail Dr,Naples, Florida 34114 to 101 S Adams St, Tallahassee, Florida... Page 1 of Notes 16 G 3 mapquest to: 101 S Adams St -allahassee, FL 32301-7719 144.26 miles/6 hours 51 minutes 9 2005 Mainsail Dr, Naples, FL 34114-8955 3. Go north on Collier Blvd.Map 11.6 Mi 13.5 Mi Total 1.1 4. Merge onto 1-75 N via the ramp on the left toward Tampa.Map 334.1 Mi 347 6 Mi Total 5. Merge onto 1-10 W via EXIT 435 toward Tallahassee.Map 88.2 Mi 435.8 Mi Total EMI' ow' 6. Merge onto US-90 W/SR-10 W via EXIT 209A toward Tallahassee. Map 8.2 Mi If! 443.9 Mi Total `l 7.Turn left onto N Monroe St/US-27/SR-61.Map 0.2 Mi 444.1 Mi Total 8.Take the 2nd right onto E Park Ave.Map 0.08 Mi 444.2 Mi Total 9.Take the 1st left onto S Adams St. Map 0.07 Mi 444.3 Mi Total 10. 101 S ADAMS ST is on the left.Map 9 101 S Adams St, Tallahassee, FL 32301-7719 flotal Travel Estimate: 444.26 miles - about 6 hours 51 minutes 2013 MapQuest,Inc.Use of directions and maps is subject to the MapQuest Terms of Use.We make no guarantee of the accuracy of their content,road conditions or route usability.You assume all risk of use.View Terms of Use ittp://www.mapquest.com/print?a=app.core.b32f69fc5352c7041019dc48 1/25/201: N cr) Cu- 1 6 G 3 .... . ..73 , . 4 ..... (.., . o.) , M tO 0 — ts) C ti t0 c3 5 a (1) — x -cr a-I 0 3 o E 06 Lil ,--, 1 .1c as v) CU (/) ,- CU In -5 0 co a a. co P- o cc v) a) 1-- E. ° cn a) co Fa- ri ea .... a) 0 cn ..c 0- ..., v) E c ,- I.- a ,... - .0) g — 0 0 0 ''' a- - E in. 2 ci L.L. -8 cm ill , cs) tu x a) z co G V3 — 411 C -1 ±- Da cm 9 I mc . •2E. 12 2 awE a_al a) 1-,' cs- -0 a) a) a" Ix> ._ -5 co ...J 0 Lu -?.. a.) i (,, --) < .E x "E o- 2 Z 0 oci) - w 0 o o" CO "E ,._ [_..„ c 1.0 0) 1- -c-(3 a) > 0 CO co ° < -Eg co >- '- 0 0 -) t, 0 LI- CO LI- LI- d: i 0 8 • >, to 0 >.. "F) as co 7a• v) E ? f.12 .1-.) 6 a) co a, cr) lij ci.) . -a 0 43.) , _c C c E co 5 0 o c as x •. ix .._., a) .(7) 0) C c E cn .0 o a) a> 2 ca 3 z tn c 2 O (X 73 n— 0 40 n co E 0 a) C‘i Fi > Z a) (...) <0 i5 < ,•-• 5 T"'" — Z c iii •. , A 0 o Lo a. !a _ a) C) k V/I U) E a) co E A a) o CY) as ••'4 14! .4=1 >, = E ,fic 2 -o c la as O C\1 . , .tc 1 E 175 o c o co .92 43 Z S v, • Cl. V) 0 03 +4 X v- 0 Lo 8• 2 E co t t o u) o c c 8 a co — 2 0 TU " w cn a) c w A -0 0 Z = co , tn 0 > (1) 0 0 a) 0 CD 0. O 0 o 4.-.0 ,.c (---4 -o- --I 03 cii tu3 °. a c Ri c ij 0 0 0 C (4; 0 0 0 t ._ 4., To w... vs „. cz, -0 -0 0 vi ;) .7,Lutij a t (NI CU al fai 4._,--- 2 .---■ e c > a C-)m:. CC a) (n _ 0. aso 1=- 0.4 RI a:s .6 rd A S..... ft ce E 0 0 2 0 .f, 0 L ■ 03 ca. %, ca ›, ai .• . 74 c 9 ,._ : 1Y- 0) 0 E...3 0 a) = a) -c ■31 a C3, 0 W a) . CO 043 (1) c -..--, = x 1- = as co . >. .- cz cs as a 11.1 01) 0 C‘0' -C 0) C Tti .0 00 cn g,0 "r".' oi 0.) a. :'-' Q) .— in 2 <0 c\I tcl Vi .- 75 0 (7:1- )- 6 o. (1) C/1 a. CV Ca __ CI cii 76 00 15 c A N L , 0 E 0 0 0 >, c V ‘.4-- at .0 cc ,... E >' 4C2 < 2 (.0 CU a) E . a un 0 = 0 iu c )... 1....7 I_1_ 0 U-I zo I— z m (..)-- E2 -a a cu . : P. -.5 N cr) r-, 4-1 0 to 1 .. I (r) N I'-)•-■ c = (1) 1 6 G 3 a) ,:::, . 0.0 E . cc N ' Ce c •5 P-4 0 cri '5 c U) a) 0 LI- E E a a) 0 0 co (f) a) ,, II cr) u. - ,_ c z () a b' n a) o o c- 0 '',' 0 1. 0 _ i- >, 03 c*** fA 0 0- 15 6 Z E -8 (Dm Cr)g i•-• E z w 73 0 0. 0) zeri -.- X cr. .- 11) 1-• c Z — •INN ..., 0 0) CD 0 - . u) E 0 Ea. - (1) : x 8 U) - ,.,,- . w -- w 1- 0 2 Z co re (0 w -r° 0 CO V i- a) fY ' 0 U.. 17.. 1"". It CO u. E- D- LU 0 1-1- in_ re 0 a) w [4 co O E a) .V). 1r- N ao cc) ao E a) a) a; o = LE ... 0 r- '<- aft an ':3 0 .0.-4. 4.- L. ELI >1 C ..... C 0 -0 • u) 46 w w O - „- a) Ca 0 o Q. C s.- 7."• -C-6 c0 ,.... 0 , Ea) ,...:'-' o I-3 ._o 02 c .o a) _c ..... it.1 >, ta ...u2, - -o o L.- a) c co ,- (C) `C!' a._ - co ._ ,_ 0 la,., R: vo ,- Cl) 2 ' o 2) 2 5 ' Et). (-73. o a) __. 5 0 S x -,- a) 15 1;5 in. as a Es 2 c u) )- 0 x -,--. ___ N....0e o_ o , (Y) 0 0 - 0 .- o ....-- ._ u.) , a) a) .. a) 1- > -.- C CO 50000 a) aS 8 _c Lu -0 cr) E >. a) (I) a) 0 as ....: ,C o ..., cp c .*-_ -0 E C a) - ,... cn o U) '6; U) U) _ (/) o ki (n) CL.-' ,- o c a) -,C12, a) '.-=,* a) - E C E . CD C[ „,'- ..- va _c c 0 o a) CO '0 >,- a) 0 a) 0 w 0) ....- ..c D -0 0 ID - > E la) c a) .E 0- 0 To lii o r=-..;,- 2 -.0 o- 0 5 E -,.:-, 2 w 4,- a, -0 c = a) (f) a. 140 a) - 0_ c o To CL) CA CA 0) Z X al -a _a w 0 3 a) -,- a 2 C C O 0 s._ ›..% 10 ER • a) 03 to ;- N 3 tc) 111 0- a) CL)- •- c o --• co o ,- 00 - a) >, ° o = ° oo -. al - - E A ....... 0 ..,- - o.) 0 13 co c 0 7)-- >, ‘i- Toci304- C ..., mC 2 E CO Enocoo ,.... 0 0 0 CU = fl) 0 w b A-a a.) 2 _6° _o T). a) E = ''--F- ° E (-'5 I-I-I 0 (-) o as >_ .... 0 as z,is -r„ ,- oo It) to- N Z; (0 N U) 0- a) a) (0) 121)-F) ,_ 2 "0 C 0 .- '-- 0 .1 E a) 0 o 06 as w '5 a73 -- ,c2 a) co 0) -o c 3 4,... co C ° '''c to ° 2''0., a) CA N. ,- C` .c -cr cys. N 2 5 1:3 C a ER TA- U) TD 2 .6- 0 8 cu .-1::; 4-- ....' Tocol- csE 0 - 1.._ 0....-.• = c > 7:3 ..s a) cn 2 00E0) !.;_.-. .(1) -0 E -- c •- u) ,x >, a) -.aa)) - 0 ...cYo..-). ,-T,-_o > co 0 . E 0 = 0 w o - 2 - - 6 -) - a. u) ..... co a) 5 a) 1.0 ›.., at a , =NM= ..,,c E 2 E 2 ei .(-2 o :-F_ ° -0 gl) co to. (..ct3 1.5 4;..6'. Cl) Go o 10 o Ct3 CO >,1- w o o a) 0 ai .E ,- o >, ,_ ).. - .-. -...0 cti ..v .... -c 'ai ril a; ai 0 a) Ui 7.1 re ai (..) C 0C 1.. 0 0 -0 t- 13 co as a) . ,. a3 2 tE, c;--6 g . 0 g c CD s.,,,, 4-. a) -0 a) Th. '-' .0 1 6 > , -ci) a) •`-.. -o E > .7) a) E -, __o a) --, 12 2 0 Ea 6 __, i5 v-) .c- cc 2 03 ..c a) a) .- as u) -a 0 ,- - a) co 03 -- -0 F- -c U- 2 _c ao F .4....- § 2 .o F- •.(c.-) 0 -to c •-■ -E5 c ...... < > cu co v) P2 C a.) au o co - Cl CD > Cs. C in — NJ t Crzi P., a) 0 C .- x kft 1T3 MI 0 co 1 ' r o W 0 0 To -5 > ost -c-ci L. 0 o) 1 > C o o cZ) 06 0) E 3 7:1 ‘.0 • 2 u) 2- cu c, yo 47) 2 b 1:1 a. E („..., E E 0. ,-- 71 A 0 ,c33 0 CD co 03 °) ,.. 0 a) Ei cc3 <4, E 6. 6. ,..., > CA k.r. 0 I. 0 a- > )- 0 cl) < cl) .." tc cz a) I 0 u. a v.. i 2 LL. c4 ir T'a ,+a . , ,.. . ... ... . , , ,, .„. 16G3 e...... ...z .. i, .,. , s:,.....s..,:.::„....:::...: ,_, , 1 .. ' . ii,d' 2013 state ..„ .,.,,,.:-., ...,:,.:, .,...... ::., ,„ _,, ,,...._ , S UlIl rill IL TORIDA ..AI ORTS COUNCIL February 12, 2013 • Tallahassee : Registratiort 4 vit - Sponsorship . Information \- L. , , i / / r- -tom. _ Sr >r S V �k }YJ p , fy 71....t 2 *L I r, ... .„ ttr• s rµ` fr..i4 ° ^ ...mss Y r 5 't� -r 1'✓F- ,} / 1 4s b''„ 1 r 7:7'7 : x • ` E / t ., .$ y r ' , � � i d 1 '-,4 - - e '� ; . a y , w, -- - - ., { s•e ?. S '...: °a ..r f' ,., F a �" d s�� es`:; •• �`�+' �. . m u, '' `�..' �r„ .� � -' ���. �.,. ��^a �� �,* `.. �`�'� .„..:;Q_... �� r.. � '� .�°.,•�"�,'R?>�:_.,. ,_... �'�>rt �.t`�``. +`,u6j €�� f• s �Y arc, r�,x �`3' Join Us In Tallahassee 1 6 G 2013 FAC State Summit • February 12, 2013 • Tallahassee Why You Should Attend. FAC Board, staff, and members will meet with Senate and House leaders to outline the Council's legislative agenda for the upcoming session and to address the importance of airports and aviation to the state's economic recovery. Florida's High Priority Le isla.tive Issues for 20'13 • Airport Development Grant Program— FAC supports state funding for airport development that is no less than that which is proposed by FDOT in the Tentative Work Plan for FY2013/14. • Aviation—Public Transportation Office Funding Program—FAC opposes any attempts to reduce the 15% funding allocation from the State Transportation Trust Fund [s.206.46(3), F.S.] allocated to public transportation programs, with emphasis on equitable distributions of the fund allocation among the designated public transportation modes that include Aviation, Transit, Rail, Intermodal and Seaports. • Aviation Fuel Tax—FAC opposes any attempts to waive, reduce, or suspend aviation fuel taxes on a statewide or local basis. The aviation fuel tax serves as a fiscal resource to fund, in part, the delivery of air services for passengers and cargo at Florida's airports. Schedule of Events Monday, February 11, 2013 -DoubleTree Hotel 6:30 p.m. Attendee Reception sponsored by FAC Tuesday, February 12, 2013 - DoubleTree Hotel 7:00—9:00 a.m. Breakfast and Legislative Briefings 9:00— 10:00 a.m. FAC General Membership Meeting 10:00 a.m. Summit Attendees hold individual meetings with their local delegations at Capitol 2:00 p.m. FAC Corporate Committee Meeting 3:30 p.m. FAC Board of Directors Meeting 5:30—8:30 p.m. Attendee Reception sponsored by FAC Corporate Committee— 101 Restaurant Wednesday, February 13, 2013 — FDOT Auditorium 8:30—9:00 a.m. Continental Breakfast 9:00— 11:30 a.m. Educational Seminars • Florida Economic Development Incentives • New Florida Guidelines for Airport Stormwater Management Ica . "4ttZ1T.f.i.IXi.FE9.itTY COLLI'iPC 2Q1�� �� •� ��,.a .�•� ��'�#'< � '�' ��e�' :6 :��. 1> „.'����% ,.,. ''m - ti, ;.v �, . `:°M'',.7N: * "�^.. g„.„. ..„,,,_.2013 FAC State Summit • February 12, 2013 Tallahassee 1 6 G 3 Hotel Info '''---,-- ,,-,-:-, ...,'-''-'' '''''-''''''' ,1 ''''''''''':,,,,,t,1'11.,::::,:,:‘;',,: D u.bletree ote 101 South Adams Street a � zr>�, Tallahassee, FL 32301 ::-,,,,,,,:,,,,,,,,47,,,e1 (800) 222-8733 ' s A limited number of rooms are available at the DoubleTree Hotel � : 9 Tallahassee. The FAC Group Rate is $159 per night. Contact t the hotel directly for room reservations at (800) 222-8733 and � . reference the FAC Summit. Room reservations must be made prior to Thursday, January 17 to guarantee the above rate. sponsorship Each year, the State Summit is underwritten by sponsors that help keep the registration fees as low as possible. If your airport/company would be interested in sponsoring the 2013 State Summit, please complete the sponsorship form on Page 5 and return to the FAC office. Any level of support will be appreciated. You will receive the following benefits, depending upon your level of sponsorship: Platinum Level Sponsorship: 11(1 Gold Level Sponsors h.11a: ,000 • Three (3) Registrations to the Conference • Two (2) Registrations to the Conference • Acknowledgement at the Summit • Acknowledgement at the Summit • Sponsor Board Signage • Sponsor Board Signage Silver Level pun c r l lip. 0 rot e Level 1� sorshi $500 • One (1) Registration to the Conference • Acknowledgement at the Summit • Acknowledgement at the Summit • Sponsor Board Signage • Sponsor Board Signage ......) ''''-= ''''A�`d�i3t€tiAi-EIRPOift7'4 Ci}lS3'C.S:C - .. ., F: z : � ' .tea �.$yt � W,. � ,�' st � �� �� :',1”,e �,. gg c 1. " , ,. a ,� o..— _., . ..,r '�-�.e...�.A b.. ,,u ._ z�a�� .A> b ti^� ���p>fiv,: � 4:77":, �s ��3'�t'� Individual Registration Information 1 6 C3 2013 FAC State Summit February 12, 2013 Tallahassee Sponsors do not use this form,please use the form on the following page. Full Name Nickname for Badge Title Airport/Company Address City State Zip Code Phone Fax Email Payment Information ❑Check Enclosed(made payable to FAC) ❑Credit Card: ❑ Mastercard ❑ Visa ❑ American Express Name on Card Credit Card Number Exp.Date Billing Zip Code Authorize Card to Be Charged$ Email Address of Cardholder Signature of Cardholder Registration Fees Paid on/before 1/21/13 Paid after 1/21/13 r� ❑Please check here if you require special FAC Member* 1:1$80 ❑$100 l.., assistance and attach a description of your needs. Student ❑$50 ❑$50 *The FAC State Summit is for FAC Members Only Registration/Cancellation Policy Mail or fax registrations to: Registrations and cancellations must be submitted in writing.Refund Florida Airports Council requests received on/before January 21, 2013, are subject to a$50 250 John Knox Road, Suite 2 processing fee.There will be no refunds of any kind after January 21,2013. Tallahassee, FL 32303 Substitutions will be accepted without penalties. For all inquires regarding cancellations and refunds, please contact FAC at(850)224-2964 or email Phone (850) 224-2964 mc@floridaairports.org.In the event this meeting is postponed/canceled Fax (850) 681-6185 for reasons beyond our control we will notify all registrants and refund the registration fee in full. However, any additional costs incurred by the registrant are the responsibility of the registrant. Register online at www.floridaairports.or€g/meetings v .o v y y t z• 2011Ek `I.tFLii3A 37RP TY L1£[ g .e er ° � �� t.,.,, ;�,H .- ..✓.� �:'� ESN 1�� r� / �� � �� �r ��' 3� �. �"i.: o"z b 5 � p� , Vtg;'' ✓.:z� �^`. �� ,::� yam$.',. �r ��-ssr- c•, as�� �^�'� z,.� � ���Y eS r;��'' - s M �,ca ..,,,,,,,,,,,l,„;,.. ..„..,,,,,?0„,,,,,,,,,,„,,,,,,,,,,,,,o,...„„. ,e4c....otwp:w.,,,,,,,t3.,...,,„_,, . Sponsorship Registration 16 G 3 .. 2013 FAC State Summit • February 12, 2013 Tallahassee Company Name Contact Name Address City State Zip Code Phone Fax Email individual registration forms will follow once sponsorship is paid and confirmed. Sponsorship Information ❑Platinum Sponsor: $1,500 ❑Gold Sponsor: $1,000 ❑Silver Sponsor: $750 ❑ Bronze Sponsor: $500 Payment Information CI Check Enclosed (made payable to FAC) ❑Credit Card: ❑ Mastercard ❑ Visa ❑ American Express Name on Card Credit Card Number Exp.Date Billing Zip Code Authorize Card to Be Charged$ Email Address of Cardholder Signature of Cardholder Please return form and payment to: Florida Airports Council, 250 John Knox Road, Suite 2,Tallahassee, FL 32303; or fax to (850) 681-6185. Please direct all inquiries to: Florida Airports Council Phone (850) 224-2964, Fax (850) 681-6185, Email me @floridaairports.org I www.floridaairports,org/meetings All sponsorship fees must be submitted by January 15,2013 to erasure recognition on the Sponsor Board. yn t t 4-� A �cr�� zdarrra txrrrorvcr��serc i € o-a �' �' fl "tt 9 � �.�' k�nan -`� i w . ,. .,.mot � �� � ,,� t�" a�< ate. r ;�" "� �s�,�°b -'' f „t.,4.r..�: ,u � _ srn