What Cities are you registering for?
Please check all that apply

 

  All Four Cities

  Minneapolis, Minnesota (Monday, Oct. 25)

  Denver, Colorado (Tuesday, Oct. 26)

  Petaluma, California (Wednesday, Oct. 27)

  Irvine, California (Thursday, Oct. 28)

 

Company Information
Please provide the address and company information you would like to be printed in the Official Directory of Services.

Company/Organization Name:

 

Mailing Address:

 

City/State/Province:

 

Zip Code/Postal Code/Country:

 

Internet - Website Address:

 

Telephone:

Please include the country code and city code, and/or area code, where applicable.

 

Fax:

 

Email:

 

Primary Contact:

Please indicate who should receive the confirmation letters,
invoices all other information.

 

Primary Contact Email:
Please indicate the email address for the confirmation letters,
invoices and all other related information.

 

Courier Address:
A street address is needed for courier delivery
(If courier address is the same as mailing address, please skip to Delegate Information)

Courier Address:

City/State/Province:

Zip Code/Postal Code/Country:

Telephone:
Please include the country code and city code,
and/or area code, where applicable.

Fax: 

Delegate Information
List the names and titles of the Delegates who will be attending from your company.

Delegate 1 - First Name / Last Name / Job Title:

 

Delegate 2 - First Name / Last Name / Job Title:

Delegate 3 - First Name/Last Name/Job Title:

Delegate 4 - First Name/Last Name/Job Title:

Marketing Information

The following information will be included in the Official Directory and available as indexes of the Directory. 

It is very important that you answer these questions.

A. What are your business activities?
01. Airline
02. Attraction
03. Car Rental
04. Condo/Apartment
05. Cruise Line
06. Government Tourism
07. Ground Operator
08. Hotel/Motel
09. Hotel Association
10. Hotel Management
11. Motorcoach
12. Parador/Inn
13. Promotion Board
14. Receptive Agent
15. Reservation Center
16. Resort
17. Tour Operator
18. Transport Company
19. Travel Agent

B. What is your pricing/market position?
01. Deluxe/Luxury
02. Moderate
03. Economy

C. What tour services do you provide?
01. Adventure Sports
02. Archeological
03. Diving
04. Ecological
05. Educational
06. Fishing
07. Golf
08. Historical / Cultural
09. Sightseeing
10. Student Groups
11. Spa & Health Club

D. What ticketing/reservation services do you provide?
01. Accommodations
02. Airline Ticketing
03. Bus Ticketing
04. Car Rentals
05. Charters
06. Cruises
07. Special Events

E. How many years have you been in operation?
01. 1-5 Years
02. 6-10 Years
03. 10-19 Years
04. 20 or more Years

F. What types of accommodations do you provide?
01. Five Star
02. Four Star
03. Three Star
04. Two Star
05. Conference/Meeting
06. Cottage/Villa
07. (+) 300 Rooms
08. (-) 300 Rooms
09. (-) 50 Rooms
10. Resort

G. Products/Services Located?
01. Amazon
02. Andes
03. Pacific Coast
04. Galapagos
05. Region Wide

H. What type of clients do you service?
01. Corporate
02. FIT
03. Groups under 250
04. Groups over 250

I. How many clients did you service?
01. Under 200
02. 201-500
03. 501-1000
04. 1001-5000
05. Over 5000

J. What type of promotions do you utilize?
01. Brochure / CDROM
02. Mail/Fax/EMail
03. Internet/Website
04. Media
05. Video

K. What credit cards do you accept?
01. American Express
02. Diner Club
03. Discover
04. MasterCard
05. Visa
06. None

L. Please provide information about your company. 
(Limited response to about 45 words)

 

Registration Fees
Registration Fee includes:  A mini destination presentation to Agents, a Table-top meeting area (signage, table, and chairs provided) and attendance to all business and social functions.

Please choose one of the following two options.

4 Cities	$100.00 USD per Table Top w/1 delegates	$400.00 TOTAL
3 Cities	$100.00 USD per Table Top w/1 delegates	$300.00 TOTAL
2 Cities	$100.00 USD per Table Top w/1 delegates	$200.00 TOTAL
1 City	$125.00 USD per Table Top w/1 delegate	$125.00 TOTAL

Wire Transfer Processing Fee-Per Transfer (if paying by Wire Transfer) ADD US $20

NOTE: If you would like to send your reservations staff, there is no cost for them to attend - but space is limited.  Please contact Manuel Cuevas at sales@whcoleman.com about space.

Choose Payment Method:

Company Check (must be sent by courier if international)
Money Order (must be sent by courier if international)
Wire Transfer (Must add a US$20.00 processing fee for wire transfers)
Credit Card (Through secure server)

After you CLICK SUBMIT at the bottom of this form, you will be given options for payment.

Choose Confirmation Letter Method:

FAX
EMAIL

Terms of Agreement

Please read the Terms of Agreement below and check-off. Form will not be processed unless the

box marked "I agree with the terms" is checked:

All registrants are subject to the following terms and conditions: 1. All participation by any registrant must be approved by both William H. Coleman, Inc. (WHC) and Sponsor. Acceptance of registration by WHC is contingent upon subsequent acceptance by Sponsor. 2. Participants who register for the Program shall be entitled to cancel their registration in writing prior to the ninetieth (90th day) preceding commencement upon the Program, subject to a 50% cancellation fee. Thereafter, all registrants shall be deemed non-cancelable, and all registration fees paid or owing shall be deemed non-refundable or non-cancelable. 3. All social events hosted by any registrants during the Program and any pre and post Program fam trips sponsored by any registrant must be approved by WHC and Sponsor. 4. WHC and Sponsor reserve the right to cancel any registrant's registration without cause in their discretion at any time prior to the fifteenth (15th day) preceding commencement of the Program, conditioned upon full refund of such registrant's registration fee. 5. In the event of cancellation of the Program or any part thereof, because of a civil strike, civil discord, military action, natural event, or "act of God" occurring without fault on the part of WHC and/or Sponsor, there shall be no refund of fees paid or forgiveness of fees owed. 6. WHC and Sponsor shall not under any circumstances be liable for more than the refund of a registrant's registration fees upon cancellation of any registrant's participation or upon cancellation, in whole or part, of any program for any reason. WHC and Sponsor shall have no liability for consequential loss or damage of any kind arising out of any cancellation and their total and maximum liability shall be limited to refund of registration fees. Limitation of Liability: In consideration for accepting and processing this application and permitting registrant to attend the subject meeting, registrant hereby agrees to release and hold WHC and Sponsor, its officers and employees, harmless for any personal injury, loss, or harm occurring during, and while traveling to or from the subject meeting caused by third parties.

I agree with the terms above

Name of applicant who agrees with the terms of agreement above:

Date:

 

Form Submission

Meet Ecuador Seminars 2010. After submission, you will be given the payment options.

All online registrations are subject to final review and confirmation by William H. Coleman, Inc.