RegistRation foRm Special Rate Deadline: April 22, 2010
1 RegistRation infoRmation
MPI Member/Customer Number: ________________________________________
Last Name: ____________________________________________________ First Name: ________________________________________________
Title: __________________________________________________________ Company Name: ___________________________________________
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: _____________________
*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 Would you like to participate in the Ambassador Program?
Yes, I would to receive information about the program
What most influenced you to register? (Check all that apply)
No, I am not interested in the program
Conference brochure or postcard
ONE+ magazine ad/article Have you ever booked a meeting in Vancouver?
Promotional product Yes No
E-mail from MPI
Phone call from MPI Do you plan to host an event in Vancouver within the next 5 years?
Messages from my chapter Yes No
Social Networking (Facebook, LinkedIn, Twitter, other) Do you plan meetings outside the US and Canada?
Internet Yes No
If so, where? (Check all that apply)
How much purchasing power do you influence annually in US dollars? Europe Central America Asia
Up to $50,000 $1,000,0001 to $5,000,000 Australia Africa Middle East
$50,001 to $100,000 $5,000,001 to $10,000,000 South America
$100,001 to $500,000 Above $10,000,000
$500,001 to $1,000,000 None Regarding the meetings you plan, on average, how many attendees
are at each?
Your purchasing role (check one) ___ Less than 50 attendees ___ 501-1,000
Make final decision Part of recommendation process ___ 51-100 ___ 1,001-1,500
Make final recommendation No role ___ 101-250 ___ 1,501-2,500
Your age range: ___ 251-500 ___ 2,501+
25 or younger 36 - 45 56 - 65 Prefer not to respond
Regarding the number of peak rooms needed for your meetings,
26 - 35 46 - 55 66 or older
on average, how many do you book?
Do you authorize MPI to publish your contact information (name, ___ Less than 50 attendees ___ 501-1,000
company and address) on the registration list to ___ 51-100 ___ 1,001-1,500
all program attendees?
___ 101-250 ___ 1,501-2,500
___ 251-500 ___ 2,501+
Be in the know! Select “yes, share my email” to share your email
with suppliers to receive product updates and information about Please rate the factors below in terms of how important each is in
your decision to attend an MPI educational conference.
special events during the conference
(Please rate each factor on the following 1-5 scale)
Yes, share my email (1) extremely important; (2) very important; (3) somewhat important;
No, do not share (4) not very important; (5) unimportant
I would like to opt out of receiving a conference bag ___ Educational Session Content ___ Budget Considerations
___ Conference Location ___ Schedule Considerations
Yes, I do not wish to receive a conference bag
___ Networking Events
No, I prefer to receive a conference bag
Page 2 Last Name _____________________________________________ First Name _______________________________________________
2 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
Special Rate by
April 22, 2010 *Non-Member Planners may receive the rate of $399 without be-
Check Only One ing “recruited” by a Supplier Member or Non-Member.
MPI Planner Member $399
*Supplier Members and Non-Members must “recruit” a Non-Mem-
Planner Non-Member $399
ber Planner to receive the full conference registration fee of $399.
This offer is not valid without an accompanying Non-Member
MPI Supplier Member $399 Planner reg form.
MPI Supplier Non-Member $399
Return forms to MPI via fax 972.406.6614 or via email to
*Planner Non-Member Name: firstname.lastname@example.org
Early Discount Rate Advance Rate by
by June 25, 2010 July 23, 2010 Onsite Rate
Check Only One
MPI Supplier Member $625 $935 $995
MPI Supplier Non- Member $936 $1,045 $1,205
NBTA members $625 $935 $995
One-day Member (planners) $395 $625 $785
One-day Non Member (planners) $560 $780 $835
Student Member $120 $235 $315
Member Faculty $310 $550 $760
Section 4 Subtotal US$ ________________
5 CONFERENCE EVENTS / OTHER FEES
Early Discount Rate by
June 25, 2010
Friday/Saturday - ROI Workshop (Member/Non-member) $595 / $795 $695 / $895
Saturday - RISE Awards Presentation Complimentary Complimentary
Saturday - Community Service Project, 8-11:30am, # of tickets ______ $50 $50
Tuesday - Orlando Promotional Lunch Complimentary Complimentary
MPI Foundation Events
Saturday MPI Foundation World Series of Poker Tournament Ticket $100 $100
Ticket is for admission to the tournament, food and drink, only
Saturday MPI Foundation World Series of Poker Tournament Player Ticket $275 $275
Player Ticket must be purchased to participate in poker tournament
Power Play Pass - 1 Rendezvous ticket and 1 Poker Tournament Ticket $200 $200
Poker Tournament ticket is for admission, food and drink only
Sunday - 1 Rendezvous Ticket (location Commodore concert venue) $110 $125
Sunday - 2 Rendezvous Ticket Package (location Commodore concert venue) $200 $200
Sunday - 3 Rendezvous Ticket Package (location Commodore concert venue) $250 $250
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$__________________________
• Payment must accompany your registration form. • Return check fee - $30
• Checks must be in US Dollars • Copies of checks will not be accepted 7 SEND REGISTRATION FORM TO:
Please check one:
Promotional Code (if applicable): __________________________________ Showcare
Enclosed is Check # ____________ in the amount of US$______________ MPI 2010 WEC
• Payable to Meeting Professionals International.
• Please write the registrant’s name on the check. 1200 G Street NW
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:__________ Fax: 514-380-9378 or 866-654-0920
Cardholder’s Name:_______________________________________________________ Email: email@example.com
*All non-U.S. members will be charged the U.S. equivalent at the time the credit card is processed.
• Special Rate Deadline - April 22, 2010
• Discount Registration Deadline - June 25 2010
• Advance Registration Deadline - July 23, 2010
• Deadline for Attendee List – Register by June 25, 2010 to guarantee your name and contact information on the attendee list published on the
• Mailed Registrations Deadline – Please do not mail registrations after June 25, 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 514-380-9377 or 866-654-0919 or email firstname.lastname@example.org. Registrations received without
payment will not be processed.
• Questions Regarding Membership – Please call 1.972.702.3053
• 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 MPI Foundation Poker Tournament and Rendezvous Vancouver.
• Cancellations – Cancellations must be received in writing prior to June 25, 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 June 25, 2010 nor will they be given for no-shows. Please mail,
fax, or email cancellations to email@example.com.
• 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 WEC. If you selected “Yes, I would to receive information about the program”
you will be contacted with information about becoming a mentor or mentee.
• Community Service Project - Restoring Salmon Habitats with the Pacific Streamkeepers Federation. MPI volunteers will be taken by bus to
Vancouver’s North Shore. Working stream-side in a forest park, volunteers will be supervised by local experts and will be involved in activities
such as species identification, surveying, and replacing invasive plants with native species that provide critical shade, shelter and protection from
erosion. Volunteers will have lunch provided and will visit a local fish hatchery. Waterproof hiking footwear is recommended.
• For complete details regarding conference events, please log on to mpiweb.org.