REGISTRATION FORM
Discount Rate Deadline: January 22, 2010
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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):_________________________Cell (Country Code/Area Code/Number): _____________________________
*Airline: ______________________ Arrival Flight Number:__________ City Departing From: _________________ Arrival Date/Time:_ _____________
Number of Guests Traveling With You: ______ Departure Flight Number: __________ Departure Date/Time: _____________________
*Your flight information is being collected to coordinate your complimentary airport transportation.
*E-mail:____________________________________________________ Twitter ID (if applicable): __________________________________________
*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
What most influenced you to register? (Check all that apply)
Conference brochure or postcard
ONE+ magazine ad/article
Promotional product
E-mail from MPI
Phone call from MPI
Messages from my chapter
Word-of-mouth
Social Networking (Facebook, LinkedIn, Twitter, other)
Internet
How much purchasing power do you influence annually in US dollars?
Up to $50,000
$1,000,0001 to $5,000,000
$50,001 to $100,000
$5,000,001 to $10,000,000
$100,001 to $500,000
Above $10,000,000
$500,001 to $1,000,000
None
Your purchasing role (check one)
Make final decision
Make final recommendation
Your age range:
25 or younger
26 - 35
36 - 45
46 - 55
Part of recommendation process
No role
56 - 65
66 or older
Prefer not to respond
Do you authorize MPI to publish your contact information (name,
company and address) on the registration list to
all program attendees?
Yes
No
Be in the know! Select “yes, share my email” to share your email
with suppliers to receive product updates and information about
special events during the conference
Yes, share my email
No, do not share
Would you like to participate in the Ambassador Program?
Yes, I would to receive information about the program
No, I am not interested in the program
Have you ever booked a meeting in Cancun?
Yes
No
Do you plan to host an event in Cancun within the next 5 years?
Yes
No
Do you plan meetings outside the US and Canada?
Yes
No
If so, where? (Check all that apply)
Europe
Central America
Asia
Australia
Africa
Middle East
South America
Regarding the meetings you plan, on average, how many attendees
are at each?
___ Less than 50 attendees
___ 501-1,000
___ 51-100
___ 1,001-1,500
___ 101-250
___ 1,501-2,500
___ 251-500
___ 2,501+
Regarding the number of peak rooms needed for your meetings,
on average, how many do you book?
___ Less than 50 attendees
___ 501-1,000
___ 51-100
___ 1,001-1,500
___ 101-250
___ 1,501-2,500
___ 251-500
___ 2,501+
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
___ Budget Considerations
___ Schedule Considerations
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Last Name______________________________________________ First Name________________________________________________
PLEASE INDICATE ANY SPECIAL NEEDS
Dietary
Diabetic
Vegetarian
Food Allergies: _ ________________________________________________________________________
Physical
Please check here if you require special accommodations to participate. Please specify: ________________________________________
3
IN CASE OF AN EMERGENCY DURING CONFERENCE, PLEASE CONTACT
Name (Please print clearly):_ __________________________________________________________________________________________________
Daytime Phone: ______________________________________________ Evening Phone:_________________________________________________
4
REGISTRATION FEES
Discount Rate by
January 22, 2010
Advance Rate by
February 19, 2010
Onsite Rate
MPI Member (NBTA members)
$625
$935
$995
Non-Member
$935
$1,045
$1,205
One-day Member (planners)
$395
$625
$785
One-day Non Member (planners)
$560
$780
$835
Check Only One
Student Member
$120
$235
$315
Member Faculty
$310
$550
$760
Application for Hosted Buyer Program Closes
October 15, 2009
Hosted Buyer Program - Planners*
$300
*The fee of $300 is a deposit and will be refunded if you are not selected for the Hosted Buyer program
*If you are selected the $300 will be refunded upon completion of all 15 appointments
*If you are selected and do not attend all 15 appointments, you will not be refunded and an additional
$325 to pay for the full conference registration will be charged
Section 4 Subtotal US$ ________________
To join MPI and save on registration fees, please visit www.mpiweb.org or call 1.972.702.3053
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CONFERENCE EVENTS / OTHER FEES
Advance Rate by
February 19, 2010
Onsite Rate
Carbon Offset
$49
$49
Friday – CMP Boot Camp
$140
$165
$595 / $795
$695 / $895
$249 / $349
$349 / $449
$80 (Ticket Required)
$95 (Ticket Required)
$25
$25
Friday / Saturday ROI Workshop (Member / Non-member)
Saturday - The Four Elements of Strategic Value Workshop (Member / Non-member)
Sunday – Rendezvous Cancun
Monday - Community Service Project Donation
Make a Difference Day supporting Save the Children
Educational Sessions - Computer Labs
Saturday - Critical Excel Tools for the Meeting Professional (1pm - 5pm)
$35
$35
Sunday - Tweet Different: Making Twitter Work for You (1:30pm - 2:30pm)
$25
$25
Sunday - Even More Google-icious: How to Find Anything on the Internet (3pm - 5pm)
$35
$35
Monday - Master Excel Computer Lab (10:30am - 12pm)
$35
$35
Tuesday - How to Develop a Project Plan with Microsoft Project (1:30pm - 5pm)
$35
$35
I would like to make a donation to the MPI Foundation in the following amount*:
$35
$75
$100
Other:__________
*Tax-deductible contribution to the extent provided by law. The MPI Foundation’s Federal Tax ID Number is 31-112696
Section 5 Subtotal US$_________________________
Total Amount Due US$__________________________
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PAYMENT
• Payment must accompany your registration form. • Return check fee - $30
• Checks must be in US Dollars
• Copies of checks will not be accepted
Please check one:
Promotional Code (if applicable): __________________________________
Enclosed is Check # ____________ in the amount of US$______________
• 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
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.
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SEND REGISTRATION FORM TO:
Showcare
MPI 2010 MeetDifferent
1200 G Street NW
Suite 800
Washington, DC
20005-3967
Fax: 514-380-9371 or 866-654-0913
Email: meetdifferent@showcare.com
IMPORTANT REMINDERS
• Discount Registration Deadline – January 22, 2010
• Advance Registration Deadline – February 19, 2010
• CDM Kyoto Certified Carbon Offset - We have calculated that each delegate will contribute to 1.4tCO2e on average. This Carbon offset allows
an individual or oganization to offset the equivalent of its GHG emmissions that cannot be reduced any further (“incompressible emissions”), by
investing in the GHG emession reduction projects in a developing country. This mechanism enables to reduce, in a developing country, a GHG
volume equivalent to the one produced by the emitting country.
• Deadline for Attendee List – Register by January 29, 2010 to guarantee your name and contact information on the attendee list published on the
MPI website.
• Mailed Registrations Deadline – Please do not mail registrations after January 29, 2010 as we cannot guarantee receipt in a timely manner for
processing. Payment may be required onsite for registrations not received.
• Questions Regarding Registration – Please call 514-380-9370 or
866-654-0912 or email meetdifferent@showcare.com. Registrations received without payment will not be processed.
• Questions Regarding Membership – Please call 1.972.702.3053
• MPI Ambassador Program - MPI will be having an Ambassador Program to pair first time attendees and new members with experienced
members, to learn what to expect and how to get the most out of MeetDifferent. If you selected “Yes, I would to receive information about the
program” you will be contacted with information about becoming a mentor or mentee.
• Guest Registration (US$250) – 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 18 years of age. Guests are welcome to participate in the opening reception,
closing reception and other official evening events, excluding Rendezvous Cancun.
• Cancellations – Cancellations must be received in writing prior to January 22, 2010 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 January 22, 2010 nor will they be given for no-shows. Please
mail, fax, or email cancellations to meetdifferent@showcare.com.
• For complete details regarding conference events, please log on to mpiweb.org.