Centurion South Beach Registration

FULL DAY CONFERENCE, MONDAY, OCTOBER 17, RITZ CARLTON
TO HELP JEWELERS SURVIVE THE E-COMMERCE EXPLOSION

Centurion South Beach 2016 and 25 IN 5 Conference Registration

Centurion Account Executive:

RETAILER OR EXHIBITOR:

25 IN 5 CONFERENCE ATTENDANCE:

25 IN 5 CONFERENCE ATTENDEE TYPE:

RETAILER SHOW ATTENDANCE PLAN:

RETAILER 25 IN 5 CONFERENCE ATTENDANCE PLAN:

First Name Last Name

Company Name

Company Phone Mobile Phone

Company Address

City State Zip

Email Website

Attendee 1 First Name Last Name

Attendee 2 First Name Last Name

Attendee 3 First Name Last Name

Attendee 4 First Name Last Name

Attendee 5 First Name Last Name

List any Special Dietary Requests or Handicap Information for any of

the above attendees:

Please Complete the Section Below if you Need A Room/Rooms

Note: To complete the room section, in most cases you will need to left click your mouse in each box and type the needed information simultaneously. Sorry for the inconvenience.

Room 1 Hotel

Room 1 Arrival Date Departure Date

Room Type Room 1

Room in Name of

Room Shared With

List any Special Room Requests

Room 2 Hotel

Room 2 Arrival Date Departure Date

Room Type Room 2

Room in Name of

Room Shared With

List any Special Room Requests

Room 3 Hotel

Room 3 Arrival Date Departure Date

Room Type Room 3

Room in Name of

Room Shared With

List any Special Room Requests

Credit Card Information (required)

Please provide Credit Card Information Below to hold your room(s):

Card Type Card Number

Exp Date (One or Two Digit Month/Two Digit Year)

Security Code

(3 digits on back of MC or Visa, 4 on front of Amex)

Billing Street Address Billing Zip

CANCELATION TERMS: If you reserve a room for the aforementioned show and conference (provided through Centurion South Beach or billed directly to you) and you cancel your room(s) less than 30 days before the first day of the show or if you are a No-Show at the aforementioned show, you will be billed in full for all nights of your stay that have been reserved. Room rates are approx. $389 plus tax per night at Ritz Carlton and $169 Per Night plus tax at Loews Miami Beach.

Submit My Registration

SHOW HOURS

2 PM-8 PM, Thursday, Oct. 13; 10 AM-6 PM, Friday, Saturday and Sunday, Oct. 14, 15 and 16, 2016.

Cocktail Reception on the show floor Thursday, October 13 at the Ritz Carlton Ballroom from 6-8 PM.

Ritz Carlton South Beach

One Lincoln Rd., Miami Beach, FL

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