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Authority Insiders Forum
April 23
rd
- 24
th
, 2020
Dallas, TX - Hyatt Regency DFW Airport
Please fill out the registration form below.
Contact Information
Member Name
*
First
Last
Member Email
*
Do you have a contract code?
*
Yes
No
Contract Code
Accommodations
Will you be bringing a guest?
*
Yes
No
Note: The guest registration fee is $497
How many guests will you be bringing?
*
1
2
3
You are eligible to bring up to 3 guests.
Please enter your guest(s) full name(s):
*
Will you need additional room(s)?
*
Yes
No
*Note: If your guest(s) requires separate rooms, you will be responsible for their room charge for the desired nights. We will reserve the room on your guest’s behalf, but you will need to provide the credit card you would like charged at check-in.
How many additional rooms will you need?
*
1 Additional Room
2 Additional Rooms
Check-In Date
*
Date Format: MM slash DD slash YYYY
Check-Out Date
*
Date Format: MM slash DD slash YYYY
*Note: If you choose to extend your stay, you will be responsible for the nights outside of 4/22 and 4/23, payable by credit card upon arrival. Extra nights are subject to hotel availability.
For headcount purposes, please select the following events you plan to attend.
*
Entrepreneur's Tailgate Party & Pep Rally (4/22 5:30 PM)
Grit & Gridiron Salute to Entrepreneurs event (4/23 6:00 PM)
Do you have any dietary restrictions?
*
Yes
No
Dietary Restrictions
*
Please select all that apply.
Vegetarian
Vegan
Gluten Free
Dairy Free
Other
Other Dietary Restrictions
*
Please enter any other dietary restrictions below.
What is your room preference?
*
1 King
2 Doubles
No Preference
Payment Information
Member Registration Fee
*
Price:
$997.00
Member & 1 Guest Registration Fee
*
Price:
$1,494.00
Member & 2 Guests Registration Fee
*
Price:
$1,991.00
Member & 3 Guests Registration Fee
*
Price:
$2,488.00
Total
$0.00
Credit Card
*
American Express
Discover
MasterCard
Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
Expiration Date
Security Code
Cardholder Name
Name
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