1. No category

r e g is trat i on 201-857-5333 ∙ [email protected]
9th Annual Native American Economic Development, Diversification & Energy Conference with the
Inaugural Pre-Conference Tribal Leadership Workshop, brought to you by the Leadership Solutions Group
June 14–16, 2015 · Disney’s Grand Floridian Resort & Spa · Lake Buena Vista, Florida
First Name: ________________________________ Last Name: ______________________________________
Title/Responsible For: _______________________________________________________________________
Company/Tribe/Organization: _________________________________________________________________
Address: _________________________________________________________________________________
City: _______________________________State: __________________ Zip: _________________________
Business Telephone: ____________________Fax: ___________________ Email: ________________________
How did you hear about this conference? _____________________________ Code:________________________
Will you be attending the Pre-Conference Tribal Leadership Workshop?
Registration Fees Per Person
Please fill out a separate registration form for each person attending the conference.
☐ Yes
☐ No
Before
Feb 27
Before
may 1
After
may 1
Total
Elected Tribal Council & Tribal Representatives (Applies to federally recognized tribes only)
Individual Rate*
$595
$695
$795
++
Group Rate (6 registrations from same tribe for price of 4)
$595
$595
$595
Pre-Conference Tribal Leadership Workshop
$195
$195
$195
On-site Registration
–
–
$995
Grand Total
Standard Professional Registration
Individual Rate*
$795
$895
$995
++
Group Rate (6 registrations from same organization for price of 4)
$795
$795
$795
On-Site Registration
–
–
$1195
Grand Total
Prices include all meals during functions. * Payment must be received in full before the early date expires to receive the discounted rate - NO EXCEPTIONS.
registration forms must be submitted at the same time to receive the discounted Group Rate. Group Rate cannot be combined with other discounts.
☐ American Express®
☐ Visa®
☐ MasterCard®
++
All
☐ Check
Credit Card #: _____________________________________ Expiration Date: _________ CID/CVC: _________
Name on Credit Card: __________________ Mailing Address for Credit Card: _____________________________
City: _______________________________State: __________________ Zip: __________________________
Payment Policy American Express®, Visa®, MasterCard® and checks are accepted. Please make all checks payable to Native Nation Events, LLC. In the memo of the check, please write the name of the conference and the name of the conference attendee. All checks
must be received by the applicable deadline date or no later than five (5) business days prior to the conference. If you submit your registration within seven (7) days of the start of the event, including the start date, only credit card payment will be accepted. Native Nation
Events, LLC is not responsible for any other costs associated with attending the conference.
Cancellation policy Cancellations must be made in writing and received no later than ten (10) days prior to the start of the conference. Cancellations will not be accepted over the phone. Any fees paid will be applied to a credit voucher of equal value, good for
twelve (12) months from the date of the event. It is transferrable to someone from the same tribe or company. Credit vouchers cannot be combined with any other offers. In the event that Native Nation Events, LLC cancels the event due to an act of God, declaration of
war, act of foreign enemies, one or more occurrences that could directly impair travel or any other event that directly or indirectly causes the cancellation or rescheduling of the conference, Native Nation Events, LLC retains the right to issue a credit voucher for a future
Native Nation Events, LLC conference within the following twelve (12) months. Native Nation Events, LLC is not responsible for any other costs associated with attending the conference.
PHOTOGRAPHY/VIDEOGRAPHY DISCLAIMER POLICY Native Nation Events, LLC reserves the right to use any photograph and/or video taken at any event sponsored by Native Nation Events, LLC. By attending the event, you are consenting to the use of your
likeness in publications and other materials produced, used or contracted by Native Nation Events, LLC, including but not limited to brochures, invitations, books, newspapers, magazines, television, websites, social media and any other electronic formats. Any person
who wishes to not have his or her photo taken and/or distributed must contact Amanda Nokes in writing and express his or her refusal. For identification purposes only, a photograph must be included with the written refusal, which will be held in confidence.
Please Note The speakers, the agenda (in whole or in part) and networking and/or recreational events are subject to change without notice.
Native Nation Events has no affiliation with Walt Disney World or any of its parent, affiliate or subordinate companies. The payment made pursuant to this registration form is for the Native Nation Events Conference identified above only. Any Walt Disney World tickets,
reservations, shuttles or any other Walt Disney World-themed or sponsored event in addition to those provided by Native Nation Events as part of this conference are not sponsored, affiliated with or subsidized by Native Nation Events. Native Nation Events does not
provide access to, guarantee entry to, or make any representation regarding access to Walt Disney World parks, restaurants or any other Walt Disney World-controlled product or service.
Fax form to:
Email form to:
Mail check to:
201-857-5332
[email protected]
Native Nation Events – Disney
145 North Franklin Turnpike, #202
Ramsey, New Jersey 07446
Accommodations
Disney’s Grand Floridian Resort & Spa
4401 Floridian Way
Lake Buena Vista, Florida 32830
For reservations and to receive discounted rates, please call 407-824-3000
and mention this Native Nation Events conference, or go to
http://www.mydisneymeetings.com/americaneconomic2015.