2014 GC Registration Form

REGISTRATION FORM CONTACT INFORMATION First Name Last Name Firm/Company Name Title Address City State Zip Code C...

0 downloads 205 Views 105KB Size
REGISTRATION FORM CONTACT INFORMATION First Name

Last Name

Firm/Company Name

Title

Address

City

State

Zip Code

Country

E-mail

Phone Number

May we disclose your contact information in the attendee list? Yes, with email address Yes, without email address No Conference App: Each registration includes access to the conference app complete with all presentations, schedule, networking events and attendee and sponsor profiles. If you would like to access the conference app with a different email then listed above, please provide preferred email below.

REGISTRATION Please Select Desired Registration: Comprehensive Registration - Includes participation in Tuesday Immersion sessions and option to attend Monday Educational sessions as well as catered breakfasts and breaks, lunch and cocktail receptions on both days - $899 Monday Registration - Includes access to Educational sessions, catered breakfasts and breaks, lunch and cocktail reception on Monday Only - $399 Tuesday Spectator Registration - Includes access to observe immersion sessions, catered breakfasts and breaks, lunch and cocktail reception on Tuesday Only - $499 Exhibitor Full Conference Registration - Includes Exhibitor Table and recognition during entire conference as well as participation for one person in Tuesday Immersion sessions and option to include Monday Educational sessions. Also includes catered breakfasts and breaks, lunch and cocktail receptions on both days - $1500

Association/Educator Rates: To qualify for Association rates, you must enter the association name and member number. To qualify for the Educator rates, you must be a student or educator at an educational institution. Comprehensive - Includes same value as Comprehensive Registration above - $799 Association or Educational Institution: _________________ Member # __________ Monday Registration - Includes same value as Monday Registration Above - $299 Association or Educational Institution: _________________ Member #___________ Tuesday Spectator - Includes same value as Tuesday Spectator Registration above - $399 Association or Educational Institution: _________________ Member #___________

CLE Credit: Attorneys - Will you need CLE Credit? If so, which states? _______________________________

Please check to confirm your attendance at the following events: Will you be attending the Luncheon on Monday, October 13? Will you be attending the Cocktail Reception on Monday, October 13? Will you be attending the Luncheon on Tuesday, October 14? Will you be attending the Cocktail Reception on Tuesday, October 14? Do you have any special needs (including food allergies)? Vegetarian Meals Other Needs ________________________________________________________________

PAYMENT INFORMATION Type:

Information: Please include card number, expiration date, name on card, CSV and billing zip code.

Mastercard Visa American Express Check Please make checks payable to: HospitalityLawyer.com and remit to: 2450 Louisiana, Suite 400-416, Houston, TX 77006. Paypal Payments: Please send payments to [email protected].

CANCELLATION & REFUND ASSISTANCE: Due to our conference venue commitments, conference registrations are non-refundable. Substitutions are always welcome (please contact us with the substitute's name so we can have their materials ready). Alternately, the conference registration amount may be applied as a credit for any HospitalityLawyer.com conference within 12 months of the date of the conference for which the attendee originally registered.

Questions? Please contact Jessica at (713) 963-8800 or [email protected]

NOTES: