INNOVATIVE GAMING SOLUTIONS Seminar Registration Form: Seminar Name: Level I Game Protection Certification Seminar Dates: ___Oct 5 - 9, 2015 Seminar Location: Grand Casino Hotel & Resort, Shawnee OK Today’s Date: __________________________________________________________ Name of Attendee: _______________________________________________________ Contact Information of Attendee: (email and phone number) ________________________________________________________________________ Job Position: ___________________________________________________________ Property Name: _________________________________________________________ Address of Property: _____________________________________________________ Director/Manager Name: _________________________________________________ Director/Manager Email: _________________________________________________ Payment Method: Money Order Please send registration to IGS at email scrump@innovativegamingsolutions.com to reserve your seat. Note: There are only 40 seats available so register quickly. **Due to the limited seating available, a $200 cancellation fee applies to any cancellation. Full payment due for cancellations after July15, 2015, (substitute attendee is allowed until the first day of the seminar) Mail check or money order to 14945 Edison Road before training dates. ($600 per person.) Signature of Attendee or Manager/Supervisor:_____________________________________________________ Print Name of Person Signing Registration: _________________________________ Phone Number of Person Signing Registration: ______________________________