TravelMart LatinAmerica Online Supplier Registration

SUPPLIER Online Registration
September 22, 23 & 24, 2010

Lima, Peru - Real Felipe Fortress

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

Company Information
Please fill in the information you want 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 and all other related 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)

CLICK HERE IF YOUR COURIER ADDRESS IS THE SAME AS THE ADDRESS TO BE INCLUDED IN THE OFFICIAL DIRECTORY

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

If you would like to register more than 4 delegates, your office must register for a second booth.
Please contact us if you have any questions at sales@whcoleman.com

NEW: ONSITE UPDATES

If you would like to receive text message updates onsite in Lima, please provide us your cellular telephone number.
NOTE: This information you provide is confidential for use by WHC, Inc. and only for the purpose of providing onsite updates.

Marketing Information for the Official Directory
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?
1. Airline
2. Attraction
3. Car Rental
4. Condominium/Apartment
5. Cruise Ship
6. Ground Operator
7. Hotel/Motel
8. Hotel Association
9. Hotel Management
10. Lodge
11. Motorcoach
12. Government Tourism
13. Promotion Board
14. Receptive Agent
15. Reservation Center
16. Resort
17. Tour Operator
18. Transport Company
19. Travel Agent
20. Media

B. What ticketing/reservation services do you provide?
1. Accommodations
2. Airline Ticketing
3. Bus Ticketing
4. Car Rentals
5. Charters
6. Cruises
7. Special Events

C. What tour services do you provide?
1. Adventure Sports
2. Archaeological
3. Ecological
4. Educational
5. Golf
6. Historical
7. Sightseeing
8. Student Groups

D. What type of accommodations do you provide?
1. Five Star
2. Four Star
3. Three Star
4. Two Star
5. Conference/Meetings
6. Condo/Apartment
7. Cottages/Villas
8. Jungle Lodge
9. (+) 300 Rooms
10. (-) 300 Rooms
11. (-) 50 Rooms
12. Resort

E. Where are your products/services located?
1. Region wide
2. Argentina
3. Belize
4. Bolivia
5. Brazil
6. Chile
7. Colombia
8. Costa Rica
9. Ecuador
10. El Salvador
11. Falkland Islands
12. French Guyana
13. Guatemala
14. Guyana
15. Honduras
16. Nicaragua
17. Panama
18. Paraguay
19. Peru
20. Suriname
21. Uruguay
22. Venezuela

F. What clients do you service?
1. Corporate
2. FIT
3. Groups (-) 250
4. Groups (+) 250
5. Meeting & Incentive

G. What is your pricing/market position?
1. Deluxe
2. Moderate
3. Economy

H. How many years have you been in operations?
1. 1-5 Years
2. 6-10 Years
3. (+) 10 Years
4. (+) 20 Years
5. (+) 50 Years

I. How many clients did you operate in Latin America last year?
1. (-) 200
2. 200-500
3. 501-1000
4. 1001-5000
5. 5001-10000
6. (+) 10000

J. Where are your sales office located?
1. Africa
2. Asia/Pacific
3. Caribbean
4. Central America
5. Europe
6. Mexico
7. South America
8. USA/Canada
9. Worldwide

K. Are you ARC/IATAN approved?
1. Yes
2. No

L. What type of promotions do you utilize?
1. Brochure
2. CD-ROM
3. Direct Mail/Fax/E-Mail
4. Internet/Website
5. Media
6. Video

M. What credit cards do you accept?
1. American Express
2. Diners Club
3. Discover
4. MasterCard
5. Visa

N. Please provide information about your business activities that will be of interest to Suppliers when choosing appointments. Limit is 372 characters:

Registration Plans & Fees

Select one of the above Registration options
(each registration option is noted to the right)

Registration Plan 1: USD $1975.00 - Includes One Delegate Badge

BOOTH with up to 40 appointments, one table, four chairs, and a sign. One Appointment Book with up to 20 appointments per day.

NOTE: The total number of appointments is not guaranteed and is based on the Buyer interest in your Company.

Registration Plan 2: USD $2275.00 - Includes One Delegate Badge

BOOTH with up to 80 appointments, two tables, six chairs, and a sign. Two Appointment Books with up to 40 appointments per day.
The booth size is the same as Registration Plan 1, but with one additional table and chairs.

NOTE: The total number of appointments is not guaranteed and is based on the Buyer interest in your Company. If your office did not attend the event this past year, or if you did not have a full 40 appointment schedule this past year, then we do not suggest you registering under this option.

Select one of the above Stand options

Please select the Number of Stands/Booths requested.
NOTE: Stands/Booths are limited and more than one cannot be guaranteed.

Select one of the above Delegate options

Please select the Number of Additional Badges requested.
NOTE: We cannot allow more than 4 badges per stand.

One Delegate Badge is included as part of your selected Registration Option above.

Each additional badge is $225 per delegate on/before July 9, 2010. After this date, delegate badge fees increase to $325 per delegate.

Special Booth Instructions or Requirements (next to "xyz" company; far from "xyz" company, etc.):

IMPORTANT: The number of appointments confirmed IS NOT guaranteed and is based on Buyer interest in your Company.

Choose Payment Method:

Company Check (must be sent by courier)
Money Order (must be sent by courier)
Wire Transfer (Add US$20.00 processing fee for wire transfers)
Credit Card

Choose Confirmation Letter method:

Terms of Agreement

Please read the TERMS OF AGREEMENT and check-off. Form will not be submitted unless the box marked "Yes" is checked:

All registrants are subject to the following terms and conditions. (1) All participation by any registrant must be approved by both Coleman, Inc. and the Sponsor. Acceptance of registration by Coleman, Inc. is contingent upon subsequent acceptance by the 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 of the Program, subject to a cancellation fee of 50% of fees received. 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 Coleman, Inc. and the Sponsor. (4) Coleman, Inc. and the Sponsor reserve the right to cancel any registrant without cause, at 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 Coleman, Inc. and/or Sponsor, there shall be no refund of fees paid or forgiveness of fees owed. (6) Coleman, Inc. and the Sponsor shall not under any circumstances be liable for more than the refund of a registrant's fees upon cancellation of any registrant's participation or upon cancellation, in whole or part, of any program for any reason. Coleman, Inc. and the 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. (7) Limitation of Liability: In consideration for accepting and processing this registration application and permitting registrant to attend the subject meeting, registrant hereby agrees to release and hold Coleman, Inc. and the 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 have read and agree with the terms above

Name:

Date:

Form Submission

TravelMart LatinAmerica 2010. After submission, you will be given the payment options and about 48 hours later, an EMail or fax response will be sent to you.

PLEASE NOTE that all registrations are not confirmed until all fees have been paid and qualifications have been verified. If you are interested in any Sponsorship opportunities, please contact us at sales@whcoleman.com

Select one of the above Registration options (each registration option is noted to the right)	Registration Plan 1: USD $1975.00 - Includes One Delegate Badge BOOTH with up to 40 appointments, one table, four chairs, and a sign. One Appointment Book with up to 20 appointments per day. NOTE: The total number of appointments is not guaranteed and is based on the Buyer interest in your Company.
	Registration Plan 2: USD $2275.00 - Includes One Delegate Badge BOOTH with up to 80 appointments, two tables, six chairs, and a sign. Two Appointment Books with up to 40 appointments per day. The booth size is the same as Registration Plan 1, but with one additional table and chairs. NOTE: The total number of appointments is not guaranteed and is based on the Buyer interest in your Company. If your office did not attend the event this past year, or if you did not have a full 40 appointment schedule this past year, then we do not suggest you registering under this option.

Select one of the above Stand options	Please select the Number of Stands/Booths requested. NOTE: Stands/Booths are limited and more than one cannot be guaranteed.

Select one of the above Delegate options	Please select the Number of Additional Badges requested. NOTE: We cannot allow more than 4 badges per stand. One Delegate Badge is included as part of your selected Registration Option above. Each additional badge is $225 per delegate on/before July 9, 2010. After this date, delegate badge fees increase to $325 per delegate.