Project Horseshoe Registration Form

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Project Horseshoe

2010 Registration
The Fifth Annual Game Design Think Tank
November 4th-7th, 2010, Canyon of the Eagles, Lake Buchanan, Texas

Complete this form and fax it to: (512) 551-0417

or mail it to:

Project Horseshoe
25550 Boerne Stage Road, #73
San Antonio, TX 78255

Attendee Name: _________________________________________
Job Title: ______________________________________________
Company Name: _________________________________________
Type of Company: ________________________________________
Address: ________________________________________________
________________________________________________
________________________________________________
Phone: ______________________ Fax: _____________________
E-mail: _________________________________________________
Referred by: ____________________________________________

Important Note:
Attendee switches must be made prior to 10/15/10. Switches made after that date are subject to a $250 fee.

Please fly into the Austin airport. Plan to arrive 11/4/10 before 4:00 PM. Plan to depart 11/7/10.

VIP Requests
Preferred beverages and snacks: __________________________________________________________________
Special dietary requests: ________________________________________________________________________
Roommate name if Double Occupancy is selected: _____________________________________________________

Payment - Your fee includes pretty much everything - all conference activities, meals, beverages, lodging, airport shuttle service, gratuities, taxes, and more. Please indicate the appropriate amount below. Registration fee is not refundable, but it is transferable.

Now through September 10, 2010!:

____$1995.00 Regular Rate - Single Occupancy Conference: $1045, Lodging/Meals/Shuttle: $950

____$1895.00 Alumni Rate - Single Occupancy Conference: $945, Lodging/Meals/Shuttle: $950

____$1795.00 Regular Rate - Double Occupancy* Conference: $1045, Lodging/Meals/Shuttle: $750

____$1695.00 Alumni Rate - Double Occupancy* Conference: $945, Lodging/Meals/Shuttle: $750

Beginning September 11, 2010:

____$2195.00 Single Occupancy

____$1995.00 Double Occupancy*

* Roommate name must be entered above.

Method of payment
____ Invoice my company
____ Check enclosed (Payable to Project Horseshoe)
Charge to my:
____Visa ____Mastercard ____American Express

Card number: ________________________________
Expiration date: ________________ (month/year)
Name on card: _______________________________

Cardholder signature:

____________________________________________

Billing address if different from above:
____________________________________________
____________________________________________
____________________________________________

For Credit Card payments prior to August 16, 2010:
Check one.
____ Charge ENTIRE AMOUNT NOW & send me a receipt
____ Charge ONLY THE CONFERENCE FEE NOW and charge the Lodging/Meals/Shuttle package fee on August 16 & send me two separate receipts. Expiration date on credit card must be 10/2010 or later.

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