REGISTRATION FORM
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Registration Information
MPI Member/Customer Number: ________________________________________
Last Name:_____________________________________________________ First Name:_________________________________________________
Title:___________________________________________________________ Company Name: ____________________________________________
Address:__________________________________________________________________________________________________________________
City/State/Province_____________________________________________________ Zip or Postal Code/Country:______________________________
Phone (Country Code/Area Code/Number):_______________________________________________________________________________________
*E-mail:___________________________________________________________________________________________________________________
*E-mail addresses and cell phone numbers will be kept private, unless specific approval is granted for opt in services. Email addresses will be used for MPI correspondence regarding your registration.
Badge Information (as you wish it to appear) Name/Nickname:_________________________Professional Designation:_______________________
First-time attendee?
Yes
No
Your Twitter handle:_________________________
What most influenced you to register? (Check all that apply)
Conference brochure or postcard
ONE+ magazine ad/article
E-mail from MPI
Phone call from MPI
Messages from my chapter
Word-of-mouth
Social Networking (Facebook, LinkedIn, Twitter, other)
Internet
Host City Promotions
Not Applicable
How much purchasing power do you influence annually in US dollars?
Up to $50,000
$5,000,001 to $10,000,000
$50,001 to $250,000 Above $10,000,000
$250,001 to $1,000,000
Not Applicable
$1,000,001 to $5,000,000
Your purchasing role: (check one)
Make final decision
No role
Make final recommendation
Not Applicable
Part of recommendation process
Your age range:
25 or younger
26 - 35
36 - 45
46 - 55
56 - 65
66 or older
Prefer not to respond
Do you authorize MPI to publish your contact information (name
and company) on the registration list to all program attendees?
Yes
No
Would you like to receive the conference bag?
Yes, I do want a conference bag
No, I do not want a conference bag
Have you ever booked a meeting in Las Vegas?
Yes
No
Do you plan to host an event in Las Vegas within the next 5 years?
Yes
No
Do you plan meetings outside the US and Canada?
Yes
No
Not Applicable
If so, where? (Check all that apply)
Europe
Central America
Australia
Africa
South America
Caribbean
Asia
Middle East
Not Applicable
Regarding the meetings you plan, on average, how many attendees
are at each?
___ Less than 50 attendees
___ 1,001-1,500
___ 51-100
___ 1,501-2,500
___ 101-250
___ 2,501+
___ 251-500
___ Not Applicable
___ 501-1,000
Regarding the number of peak rooms needed for your meetings,
on average, how many do you book?
___ Less than 50 attendees
___ 1,001-1,500
___ 51-100
___ 1,501-2,500
___ 101-250
___ 2,501+
___ 251-500
___ Not Applicable
___ 501-1,000
Number of years in the industry:
1–5
5 – 10
10 – 15
15 – 20
20 – 30
30 +
Do you manage employees that directly report to you?
Yes
No
Page 2
Last Name______________________________________________ First Name________________________________________________
Please rate the factors below in terms of how important each
is in your decision to attend an MPI educational conference.
(Please rate each factor on the following 1-5 scale)
(1) extremely important; (2) very important; (3) somewhat important;
(4) not very important; (5) unimportant
___ Educational Session Content
___ Conference Location
___ Networking Events
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___ Budget Considerations
___ Schedule Considerations
PLEASE INDICATE ANY SPECIAL NEEDS
Vegetarian
Please choose all of the job functions that you perform: (Check all that apply)
Administrative Support
Business Development
Consulting
Customer Service
Developer
Event Management
Executive
Faculty
Management
Marketing
Marketing Management
Meeting/Event Planning
Sales
Sales Management
Speaker/Author
Sponsorship
Supplier
Technology
Dietary:
Diabetic
Food Allergies: _________________________________________________________________________
Physical:
Please check here if you require special accommodations. Please specify: ___________________________________________________
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IN CASE OF AN EMERGENCY DURING the CONFERENCE, PLEASE CONTACT
Name (Please print clearly):___________________________________________________________________________________________________
Daytime Phone: ______________________________________________ Evening Phone:_________________________________________________
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REGISTRATION FEES
WEC 2013 Las Vegas Registration Rates
Registration Type
Registration Rates
June 15- July 23, 2013
$950
Full Conference - MPI Planner Member
$995
Full Conference - MPI Supplier Member
$1,050
Full Conference - Non-Member
5
Full Conference -MPI Student Member
$245
Full Conference -MPI Faculty Member
$560
One Day - MPI Planner Member
$675
One Day - MPI Supplier Member
$725
One Day - Non-Member
$790
Pre-conference sessions
Pre-Conference Sessions
Members
Non-Members
Friday – CMP Master Class
$190
$240
Friday & Saturday – Core Skills Workshop
$175
$225
Friday & Saturday – ROI Workshop
$595
$795
–
–
Times
Space For Limited Attendees
Saturday - ONE Project: Clean the World
2:00 - 5:00 p.m.
Only 20 Spaces
Saturday - Wine and Cheese with SMM-E’s
3:00 - 5:00 p.m.
Only 70 Spaces
Sunday - Beer and Food Pairing
5:15 - 7:00 p.m.
Only 100 Spaces
Monday - Aqua Fitness
6:45 - 7:30 a.m.
Only 50 Spaces
Monday - CSR @ Mandalay Bay Back of House Tour
7:45 - 8:45 a.m.
Only 25 Spaces
Saturday – Computer Lab – Critical Excel Tool for the Meeting Professional
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Limited Space Sessions and Activities
Registration Required - No Additional Fees
Tuesday - Beachfront Yoga
The Final Future of Meetings - Imagineering Tour
6:45 - 7:45 a.m.
Only 50 Spaces
10:45 - 11:45 a.m.
Only 30 Spaces
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Last Name______________________________________________ First Name________________________________________________
MPI Foundation events
Ticket Pricing
8
Early-Bird
at Door
Suppliers
Planners
Suppliers
Planners
The Big Deal
$95
n/a
$115
n/a
Rendezvous – Single
$125
$125
$140
$140
Players Golf – Single player
$175
$175
n/a
n/a
Players Golf – Twosome
$325
$325
n/a
n/a
Power-Play (1 The Big Deal / 1 Rendezvous)
$200
$125
$230
$140
Renedezvous – Bulk 2
$230
$230
$240
$240
Renedezvous – Bulk 3
$330
$330
$360
$360
PAYMENT
• Payment must accompany your registration form
• Return check fee - $30
• Checks must be in US Dollars
• Copies of checks will not be accepted
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Please check one:
Promotional Code (if applicable): __________________________________
Enclosed is Check # ____________ in the amount of US$______________
• Payable to Meeting Professionals International
• Please write the registrant’s name on the check
Enclosed is my money order
Credit Card: Charge US$_____________to the following credit card*
Visa
Mastercard
American Express
Diner’s Club
SEND REGISTRATION FORM &
CHECK PAYMENT TO:
MPI WEC Registration Team
Attn: Dee Jacobs
3030 LBJ Freeway, Suite 1700
Dallas, TX 75234
Fax: 416.421.6226 or 1-866.268.9074
Email: wec@showcare.com
Discover
Credit Card Number:___________________________Expiration Date:__________
Cardholder’s Name:_______________________________________________________
Cardholder’s Signature:____________________________________________________
*All non-U.S. members will be charged the U.S. equivalent at the time the credit card is processed.
IMPORTANT INFORMATION and REMINDERS
• Deadline for Attendee List: Register by July 17, 2013 to guarantee your name and company information on the attendee list published on the
MPI website.
• Mailed Registrations Deadline: Please do not mail registrations in after June 30, 2013 as we cannot guarantee receipt in a timely manner for
processing. Payment may be required onsite for registrations not received.
• Questions Regarding Registration: Please email wec@showcare.com. Registrations received without payment will not be processed.
• Questions Regarding Membership: Please call 972.702.3053 or email feedback@mpiweb.org.
• Guest Registration: All guests must register onsite at US $250 and must not be in an industry-related position. Co-workers or associates in the
industry do not qualify. Guests must be at least 21 years of age. Guests are welcome to participate in the opening reception and closing reception.
• Cancellations: Cancellations must be received in writing prior to June 30, 2013 and are subject to a US $75 processing fee. Refunds will be
processed within 30 days after the conference. Refunds will not be granted after June 30, 2013 nor will they be given for no-shows. Please email
cancellations to wec@showcare.com.
• Substitution Policy: Substitution of registrations is permitted prior to June 30, 2013. Only one substitution is permitted per original registrant
with written consent. The individual submitting the substitution request is responsible for all financial obligations associated with that substitution
as well as updating any contact/demographic information. Please email substitions to wec@showcare.com.
• Consent to Use of Photographic Images: Registration and attendance at, or participation in, WEC 2013 constitutes an agreement by the
registrant to MPI’s use and distribution (both now and in the future) of the registrant or attendee’s image or voice in photographs, videotapes,
electronic reproductions and audiotapes.
• For complete details of MPI conference events, please visit www.mpiweb.org/events.