NOTE: YOU MUST TAB THROUGH THE FORM TO MOVE FROM FIELD TO FIELD
AND FOR THE FORM TO ADD AMOUNTS AUTOMATICALLY.

 
Date:
Company Name:
City:
State:
Name (Principal):
Guest Name:
Guest Name:
Guest Name:

Special Functions
# Attending
# Attending

Gilley's Night Out
6:30 pm - 10:30 pm August 29
 

 

Monday Breakfast
8:00 am - 9:00 am August 30
 

Registration Fee
By July 20
(early discount)
After July 20
#Attending
1st LeisureLiving Member
$250.00
$300.00
x
1
= $ 250.00
Additional Member (2nd or more)
$200.00
$250.00 each
x
= $
Guest/Spouse (Not in Industry)
$150.00
$200.00 each
x

= $

BKBG Members Only.
Enter your LL Fun Buck Coupon Code and the number of attendees you are registering.




= $

Registration Payment

Sent check - Payable to: Buying Group Services
Total Amount Due $
Charge My Credit Card VISA
Account Number: Expiration Date:
Name on Card:    
Billing Address:
City: State:
Zip:
Send registrations with payment to: BGS Accounting, Post Office Box 4100, New Orleans, LA 70178
or FAX TO: Lesley Hardin @ 504-486-5273.
Cancellation Policy
Cancellations must be made in writing (fax to 504-486-5273) and received by July 21, 2010. No refunds after July 21, 2010. Hotel reservations must be cancelled in accordance with the Hilton Anatole policy.

Hotel Reservations

Make your reservations with Hilton Anatole
(use group designation LL)
Call Direct: 800-HILTON
or go Online: www.leisurelivinggroup.com
Hotel Cut off Date: August 4, 2010 5:00 pm
LeisureLiving Discount Rate: $139.00 single or double, includes free daily internet.

Special Needs and/or Dietary Restrictions:
Name:
ADA Requirements:
Name:

Note: Registration fees include all conference sessions, materials, and scheduled meal functions.
Guest/Spouse registration fees include breakfast and evening scheduled meal functions.

BEFORE YOU CLICK SUBMIT, PLEASE PRINT A COPY FOR YOUR RECORDS. IF YOU DO NOT RECEIVE CONFIRMATION WITHIN 5 DAYS, PLEASE CALL ANNIE AT 504-486-5173.