Nightclub & Bar Convention and Trade Show - March 1-4, 2009 - (Page 19) REGISTRATION FORM March 1–4, 2009 Las Vegas Convention Center Las Vegas, NV 1 First Name Title Organization Street Address (Please Indicate Apt. # or Suite or Mail Stop) City Country Fax Email Address Source Code From Mailing Label: Questex may provide email address and other contact data to third parties who wish to promote relevant products and services that may be of interest to you. If you do not want your contact information shared, please indicate so by checking this box q 4 WAYS TO REGISTER www www.ncbshow.com (866) 692-2066 or (980) 233-3818 (9 am - 5 pm, EST, M - F) Last Name FAX Nightclub & Bar 2009 P.O. Box 6060, Duluth, MN 55806-6060 (980) 233-3800 State/Prov. Business Phone Cell Phone Zip/Postal Code Extension For registration discount, this form must be received by February 28, 2009. Register by February 16, 2009 and we will mail your badges. Registrations received after February 16, 2009 will require badge pickup at the show. PLEASE TYPE OR PRINT. This form may be photocopied to register additional people. Payment must accompany form for registration to be complete. You must be 21 years old to register and attend all show events. Registration confirms a business relationship and authorizes Nightclub and Bar Show and Questex Media Group affiliates to contact you via mail, phone, fax, or e-mail with all parties registering on this form. The registrant agrees that all parties receiving a badge from this form will practice responsible consumption of alcohol. Anyone who over consumes or appears to over consume alcohol will be ejected from all show activities without refund. 3 GENERAL INFORMATION-PLEAsE cOMPLETE q 46 Lounge Lounge Casino q 47 Casino Private Club q 48 Country Club q 49 Specialty q 50 Other, please specify Restaurant q 51 Fine Dining q 52 Casual Dining q 53 QSR q 54 Other, please specify Hotel/Resort q 55 Resort q 56 Hotel/Motel q 57 Other, please specify Contract Management q 58 Airline q 59 Cruise Line q 60 Military q 61 Off-Premise Catering q 62 Other, please specify Specialty/Entertainment q 63 Amusement Park q 64 Other, please specify Store q 65 Convenience Store q 66 Grocery Store q 67 Liquor Store q 68 Wine Store q 69 Other, please specify Supplier q 70 Supplier q 71 Other, please specify Media q 72 Media q 73 Other, please specify Other q 74 Other, please specify 6. How many locations do you have? q 80 1 q 81 2 – 5 q 82 6 – 10 q 83 Over 10 7. What is your annual beverage sales volume? q 90 Less than $250,000 q 91 $250,000 – $500,000 q 92 $500,000 – $1 Million q 93 $1 Million – $2.5 Million q 94 $2.5 Million – $5 Million q 95 $5 Million – $10 Million q 96 Over $10 Million 1 Which function best describes your primary job title? (CHECK ONLY ONE) Owner, Partner, CEO, VP, Treasurer, Director, Assistant to President/VP, Other Officer q 01 Company Officer: President, PACKAGES Please check desired package below. *Note pricing increases for onsite registration. See page 3 for complete registration pricing. q NCB/IRS Gold Conference Pass (Sun–Wed) • Choice of one NCB/IRS pre-conference workshop (Sun) • Conference sessions (Mon–Wed) • Keynotes • Super Sessions • Exhibit Hall Admission (Tues–Wed) • Welcome Lunch • Welcome Kickoff • IHW Club Pass • Opening Night Party •DJ Spin Off • Top 100 Party q NCB/IRS Conference Pass (Mon - Wed) • Conference sessions (Mon–Wed) • Keynotes • Super Sessions • Exhibit Hall Admission (Tues–Wed) • Welcome Kickoff • IHW Club Pass • Opening Night Party • DJ Spin Off • Top 100 Party q NCB/IRS Pre-Conference Workshop • Choice of one NCB/IRS pre-conference workshop (Sun) • Keynotes • Exhibit Hall Admission (Tues–Wed) • Welcome Lunch • Welcome Kickoff • IHW Club Pass • Opening Night Party • DJ Spin Off • Top 100 Party q NCB/IRS Expo Hall Pass • Keynotes • Exhibit Hall Admission (Tue–Wed) • IHW Club Pass q HotelWorld Education Add-On Pass (Only available with NCB/IRS Conference Pass) 2 BEFORE JAN. 23 THRU JANUARY 23 FEB. 28 q 02 Operations Management: Operations/Facilities Dir/Mgr/Supervisor, General Mgr, Administrator q 03 Foodservice Management: Restaurant/Foodservice Dir/Mgr/Supervisor, Menu/Food Planner, Banquet Director/Mgr q 04 Purchasing: Buyer, Purchasing/ $895 $995 Materials Dir/Mgr/Supervisor q 05 Bartender/Mixologist q 06 Other: Please Specify 2. How many years have you been involved in the nightclub and bar industry in this capacity? 3. What level of involvement do you have in purchasing decisions? (CHOOSE ONLY ONE) q 10 Final Say q 11 Recommend q 12 Influence q 13 None q 14 N/A 4. Over which of the following areas do you have influence? (CHECK ALL THAT APPLY) q 20 Spirits q 21 Beer q 22 Wine q 123 Non-alcohol Beverages q 24 Beverage Service q 25 Glassware q 121 Food q 27 Foodservice Equipment q 127 Decor and Furnishings q 29 Lighting and Sound q 129 POS/Technology q 31 Programming q 32 Security q 130 Uniforms q 132 Other, Please Specify: 5. What is the primary business at this location: (check only one) Nightclub q 40 Nightclub q 41 Bar q 42 Sports Bar q 43 Pub q 44 Tavern q 45 Other, please specity $545 $595 $495 $545 $95 $190 $140 $190 • HotelWorld Conference Sessions (Tue–Wed) q Off Premise Track • Off Premise Sessions (Mon–Wed) • Keynotes • Super Sessions • Exhibit Hall Admission • IHW Club Pass $275 $325 Miscellaneous, Separately Priced Components: q Back of House Tours q Welcome Lunch q Five Star Awards Dinner q Five Star Awards Dinner Table q IHW Golf Classic q Opening Night Party q DJ Spin-Off q Top 100 Party q IHW Club Pass ($100 VALUE!) q Riedel Spirits Tasting q Welcome Kick-off q Vino Las Vegas $225 $180 $75 $55 $250 each $225 each Table of 8 $1700 Table of 8 $1900 $155 $155 $65 $75 $55 $65 $55 $65 $100 $150 $75 $100 $25 $35 $25 $35 4 Payment Options $ Total Conference Fee Enclosed/Charged q Check (Make checks payable to Nightclub & Bar Show 2009/Questex Media) q Charge my: q Mastercard q VISA q AMEX Card Number Cardholder’s Name (Print) Exp Date (MonthYear) Refunds and cancellation policy: Conference cancellations will be accepted and refunded, less a $100 processing fee, if received in writing no later than February 20, 2009. No refunds will be given after this date. Registrations submitted after February 20, 2009 are not eligible for refunds. If you are unable to attend, we encourage you to send a replacement. Please fax your cancellation or substitution request to 218-279-3246. If you are disabled and require special services, please email hgreen@questex.com with a written description of your needs. 19 http://www.ncbshow.com
For optimal viewing of this digital publication, please enable JavaScript and then refresh the page. If you would like to try to load the digital publication without using Flash Player detection, please click here.