SG_USA_May_2019

Early Registration: Before May 15, 2019

WORLD CONGRESS 4-19 OCTOBER | GROWING GLOBALLY USA Santa Gertrudis 2019

Please complete in full and mail/email to: BluePrint Media, P.O. Box 427, Timnath, CO 80547 lbard@blueprintma.com

Name: _____________________________________ Company: ____________________________________ Address: ________________________________________________________________________________ City:_______________________________________ State: ______ Zip: _________ Country: ____________ Phone_ ____________________________________ Email: _______________________________________ [ ] Single Occupancy OR [ ] Double Occupancy with: ________________________________________ Double Occupancy person must be at same address and with same payment options to use one registration form. Otherwise, complete a single registration form for each person and indicate “Double Occupancy with” on each form. CONGRESS PACKAGES (U.S. dollars)

Full Congress ( Entire tour from 10/4 – 10/19) .................................. $4,750/ person x ____ people = $________

First Half Congress (Tour schedule from 10/4 – 10/11) ................. $2,800/ person x ____ people = $________

Second Half Congress (Tour schedule from 10/11 – 10/20) .......... $2,975/ person x ____ people = $________

ADD Single Occupancy Fee: Full Congress........................... $1,000/ person x ____ people = $________

ADD Single Occupancy Fee: Half Congress.......................... $ 500/ person x ____ people = $________

CONGRESS DAY / PARTIAL REGISTRATIONS (U.S. dollars) Will be available May 15

TOTAL Amount Due $ _____________

 Check Number: _________ Payable to BluePrint Media  Visa  Mastercard  Discover  American Express Card Number: ______________________________________ Exp. Date: _____________ Verification Code: _____________ Name on Card: _____________________________________ Card Billing Zipcode: ________________________________ Signature: _________________________________________ If different than above, MUST match address on credit card statement

FOR OFFICE USE ONLY Date Received: ___________________ Confirmation Sent: ________________ FOR MORE INFORMATION, VISIT OUR WEBSITE AT: SantaGertrudisWC2019.com or call (970) 498-9306 or email lbard@blueprintma.com

You may also register ONLINE at: https://blueprintmedia.regfox.com/santa-gertrudis-world-congress-2019

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MAY 2019 • WWW.SANTAGERTRUDIS.COM