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The Gentlemens Club Owners EXPO 2013




(note: when filling out the form a (*) denotes a required field)

EARLY REGISTRATION DISCOUNT!
Take 10 percent off your entire order.
Discount ends June 15.

TO REGISTER:
Select the number of badges you are ordering, and then give the name and badge type for each attendee at the bottom of this form.

1st Badge $359
2nd Badge $299
3rd Badge $269
4th Badge $239
5th Badge $199

ORDER NOW AND SAVE MONEY!

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EXHIBIT BOOTHS $1,595 to $1,995
See the available booths
CLICK HERE for the floorplan.
 (a new window will open)

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Will you be attending the Awards Show this year? (*)

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Don't forget!!!
AWARD SHOW TICKETS $69
Tickets are NOT included with badges
$89 after June 15

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ACE MEMBERSHIP $95
(Join the Association of Club Executives; regularly $125
CLICK HERE to see ACE Member Benefits!

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Club or Company name: (*)

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Main Contact First Name: (*)

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Main Contact Last Name: (*)

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Street Address: (*)

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City: (*)

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State: (*)

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Country or Province: (*)

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Zip: (*)

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Phone #: (*)

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Email address: (*)

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Website:

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How did you hear about the 2013 EXPO?

please fill the "how did you hear" about us field
If other, please explain

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REDUCED HOTEL ROOM RATES:
If you are planning to attend EXPO 2013, we encourage you to book your room today at The Mandalay Bay Resort & Casino since we sell out of our room block every year.
The room rate for Expo attendees is $99, or $129 for a suite at THEhotel.

You can book by calling Mandalay Bay Group Reservations at (877) 632-9001 OR you can book by
For a look at the luxurious sleeping rooms at Mandalay Bay Resort & Casino, as well as all of their restaurants, nightclubs and other great amenities, log on to www.mandalaybay.com



NAMES TO APPEAR ON BADGES
 (at least one name is required)

Name 1:Badge Type:

Name 2:Badge Type:

Name 3:Badge Type:

Name 4:Badge Type:

Name 5:Badge Type:

Name 6:Badge Type:

Name 7:Badge Type:

Name 8:Badge Type:

Name 9:Badge Type:

Name 10:Badge Type:

PAYMENT INFORMATION
A ll forms must be submitted with payment info, to pay by check, PayPal or other method please contact us directly 727.726.3592
Name on card (*)

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Billing address (*)

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IMPORTANT: Please include the security code from the card, otherwise we cannot process your order.



TO GUARD AGAINST FALSE REGISTRATIONS AND SPAM, YOU MUST ENTER IN THE CORRECT CODE BELOW
If you cannot read the code, hit the reload button on the box below, a new code will load, your form info will NOT be reset.
Please double check all of your info before proceeding
pure risk 2013