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Attendee Information:
*Required Field |
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*Type of Attendee |
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*Company |
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*Category of Services |
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*First Name |
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*Last Name |
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*Title |
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*Company Address |
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*City |
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*State |
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*Zip |
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*Phone |
Best Way To Reach You |
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*E-mail |
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Fax |
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Hotel Information: |
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*Hotel
Needed |
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*No
Hotel Needed |
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*Arrival Date |
(required
information regardless of hotel stay)
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*Departure Date |
(required
information regardless of hotel stay)
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*Room Type |
King
Bed
2
Queen Beds |
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If
you are sharing a room, please complete the information
below: |
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Guest First Name |
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Guest Last Name |
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Guest Title |
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Note
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No deposit will be charged by La Costa.
A charge of $199 will be placed onto your
card only if you cancel your room reservation within seven (7)
days of your arrival.
Front Desk will request a card upon check-in as well. |
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Events:
Please indicate your attendance to the
following functions |
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*Thursday, May 3: Evening Reception and Dinner Program |
Yes, I will be attending
No, I am not attending |
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*Thursday, May 3: Supplier
Showcase Note:
all Allied Partners attending MUST participate in the Showcase |
I am participating
in the Supplier Showcase
I am participating in the Supplier Showcase and will be showing a product
for the Food Sampling
No, I am NOT participating in the Showcase
(applicable ONLY to
Panelists and Staff)
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Food Item:
*Required if participating in Food Sampling |
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*Shirt
Size: |
(Shirts are in Men's Sizing) |
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Golf Tournament:
Please indicate your participation in
the golf tournament. There is no fee to play in this event. |
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Wednesday,
May 2: Golf Tournament |
Yes, I will be golfing
No,
I will not be golfing |
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Golf Handicap |
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Hotel Room & Golf Club Rental
- Payment Information: |
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Payment Type |
Visa
MasterCard
Amex |
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Card
Number |
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Exp. Date |
/
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Billing Address |
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Billing City |
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Billing State |
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Billing Zip |
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Note
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The payment information above is to
secure your room and for golf rentals, if applicable. A charge of $199 will
be placed onto your card only if you cancel your room reservation
within seven (7) days of your arrival. |
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Comments |
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