CASINO AFFILIATE CONVENTION 235 East 95th Street Suite 20J New York NY 10128-4070 USA Tel: (212) 722-1744 CASINO AFFILIATE CONVENTION Fax: (208) 728-6456 e-mail: firstname.lastname@example.org www. C A C 2 0 0 7 .com CASINO AFFILIATE CONVENTION REGISTRATION FORM May 3-5, 2007 – NH Grand Krasnapolsky Hotel – Amsterdam, the Netherlands First Name Last Name Title Company Address City State Zip/Code Country e-mail Telephone Fax How did you hear of this event? Word of Mouth Internet ad (Please circle one) Magazine ad Telephoned by us Magazine article e-mailed by us Newspaper article Trade Show Article on the web Radio Television Referral (who): _____________ How many convention passes will you be purchasing? Total: # of convention passes * US $750/pass (~565€) US $: ________________________ Signature: ___________________________________________ Date: _________________ By signing the above, you agree to the CASINO AFFILIATE CONVENTION, Policy, Terms and Conditions (a copy is at the Front Desk). Registrations will not be accepted without a signature. Additional Convention Passes. If you are purchasing more than one convention pass, please list the names of the individuals attending below. Their passes will also be available for you to pick up at the registration desk on the days of the event. First Name Last Name Company Title e-mail CASINO AFFILIATE CONVENTION (AMSTERDAM 2007) POLICY, TERMS AND CONDITIONS (page 1 of 2) CASINO AFFILIATE CONVENTION (AMSTERDAM 2007) is owned by Casino Affiliate Convention, L.L.C. (Belize) and is run by Ticonderoga Ventures, Incorporated. The convention will be at the NH Grand Krasnapolsky Hotel, located at Dam 9, 1012 JS Amsterdam, The Netherlands Fax. + 31 20 554 6009, and is scheduled for May 3-5, 2007. Admission fees are listed on the http://www.CAC2007.com website. Those that have filled out the form and remit payment have agreed to be an attendee of the convention. REGISTRATION POLICY The Casino Affiliate Convention is a private event. Those that have filled out the registration application form and remit payment are requesting attendance. Attendees to the conference certify that they are over Eighteen (18) years of age. Registration is mandatory and may be made via the following means:: a) Web Site: http://www.cac2007.com/register-amsterdam-2007.php b) By Phone: To register by phone, or for additional information, please call Toll Free 1-(212) 722-1744 ext 3. c) By Mail/Fax: Please print out the Adobe PDF form located at http://www.cac2007.com/images/regform-amsterdam-2007.pdf It can be mailed/faxed to: CASINO AFFILIATE CONVENTION (AMSTERDAM 2007) 235 East 95th Street, Suite 20J New York NY 10128-4070 USA Fax: (208) 728-6456 PAYMENTS Registration fees for the CASINO AFFILIATE CONVENTION (AMSTERDAM 2007) includes all lunches, refreshments, reception and the convention documentation workbook. Payments may be made by company check, Neteller or PayPal. Please make checks payable to “Ticonderoga Ventures, Inc.” and make sure to write the name of the registrant on the face along with “CASINO AFFILIATE CONVENTION (AMSTERDAM 2007).” ALL CHECK PAYMENTS MUST BE RECEIVED FIFTEEN (15) BUSINESS DAYS PRIOR TO THE CONFERENCE. APPROVAL Once the registration application form and payment is received, an official invite to the event will be e-mailed. Casino Affiliate Convention, L.D.C., Ticonderoga Ventures, Inc., the NH Grand Krasnapolsky Hotel and those involved with the preparation/implementation of the conference reserve the right to reject any application for any reason at anytime. In the event of rejection, all payments for registration will be fully refunded. The event pass is for the approved individual and can not be resold, traded, bartered or offered to others. DRESS CODE The suggested dress code is business casual. NO VIDEO RECORDING No unauthorized video recording at the event is allowed. Authorization for Video Recording of the event requires a written request to Ticonderoga Ventures, Inc., followed by a written approval. Unauthorized video recording at the event will result in immediate ejection from the event and erasure/removal of the recorded material. CASINO AFFILIATE CONVENTION (AMSTERDAM 2007) POLICY, TERMS AND CONDITIONS (page 2 of 2) HOTEL ACCOMODATIONS We have reserved a limited block of rooms with the hotel for our attendees at a rate of Euro € 200/night plus tax. To secure your accommodations, please contact the NH Grand Krasnapolsky Hotel at telephone +31 20 554 6097 least four weeks in advance and mention that you are a “CASINO AFFILIATE CONVENTION” delegate. Please make your reservations early by calling the hotel directly, as we have a limited number of rooms at this rate. CANCELLATION POLICY 1) All sales are final. There is NO refund for any person or group of persons who wishes to cancel their attendance to the event. 2) If Casino Affiliate Convention, L.L.C. and/or Ticonderoga Ventures, Inc. decides to cancel the convention, for any reason [except those listed in the Exceptions and Limitation of Liability section (below)], any and all admission fees prepaid shall be fully refunded. LOST BADGES Casino Affiliate Convention, L.L.C., Ticonderoga Ventures, Inc., the Stardust Resort & Casino and those involved with the preparation/implementation of the convention are note responsible for lost delegate badges at the event. Badge replacements for lost badges require the purchase of a new delegate pass at the full purchase price on site at the event EXCEPTIONS AND LIMITATION OF LIABILITY CAC2007, Ticonderoga Ventures, Inc. the NH Grand Krasnapolsky Hotel and those involved with the preparation/implementation of the convention will not provide refunds and is held harmless from any and all claims, losses and damages (including attorney's fees and any costs involved because of said claims), on account of: lost or damaged articles; accident; any mishap due to alcohol or drug abuse; death; injury; illness; disruption; delays or cancellations caused by weather conditions; any mechanical or electrical difficulties; strikes; lockouts; act of God; natural disaster; act of war; act of Terrorism; and/or any other event beyond their control. CAC2007, Ticonderoga Ventures, Inc. and those involved with the preparation/implementation of the convention assumes no liability for non-refundable transportation costs, hotel accommodations or additional costs incurred by exhibitor. Casino Affiliate Convention, L.D.C., Ticonderoga Ventures, Inc. the NH Grand Krasnapolsky Hotel and those involved with the preparation/implementation of the convention reserve the right to immediately eject from the grounds those that violate the NH Grand Krasnapolsky Hotel's codes of conduct. In addition, this includes anyone engaged in violence, provokes violence, is confrontational and/or disruptive to anyone at or adjacent to the event area. CAC2007, Ticonderoga Ventures, Inc. the NH Grand Krasnapolsky Hotel and those involved with the preparation/implementation of the convention are not responsible and assumes no liability for any personal property lost and/or damaged at the convention. If you have any questions about this form or the CASINO AFFILIATE CONVENTION (AMSTERDAM 2007) please feel free to call (212) 722-1744.
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