Master Brewers District Online Registration Request

* Event Name:

Begin Date and Time:
Date Hours Minutes

End Date and Time:
Date Hours Minutes

Venue

Address:

City:

State/Providence:

Check that you have read and agree to the following: The District is aware of the Master Brewers Expected Behavior Policy and agrees to present the policy verbally or in writing to attendees at the beginning of the meeting

Meeting Registration

Registration Fees Provide fees and cut off dates for all registration types (member, nonmember, student) and fee structure (early, regular, late), as applicable. Credit card (VISA, MC, Amex, Discover) and Paypal payments are accepted for online registrations.

	Early fee (if applicable)	Regular Fee	Late Fee (if applicable)
Cut off dates
Member
Nonmember
Student

If you are planning on ticketed events please specify:

The name of the event(s), pricing, and maximum number
Indicate if full meeting registration is required to attend ticketed event
Please enter name and email addresses for those to receive complimentary registrations if applicable

Refunds/Cancellations Full refunds will be given unless cancellation details are specified.

Are refunds allowed? If yes, last date to receive refund?

Cancellation fee (if any) $

Registration Close: Registration will remain open through the meeting unless date and/or capacity are specified.

Close date:

Date

Max capacity:

Meeting Sponsorship

Sponsorship Levels Credit card [VISA, MC, Amex, Discover] and PayPal are accepted for online sponsorships.

Please include sponsorship level, amount per sponsorship, max number of sponsorships (if any), sponsorship title, and what sponsorship includes (e.g. Level 1 - Platinum, $500, max 5, includes logo on homepage, sponsorship of social, transportation)

Level	Sponsorship Title	Sponsorship price	Max Sponsorships	What Does Sponsorship Include?
1
2
3
4
5

Refunds/Cancellations

Are refunds allowed? If yes, last date to receive refund?

Date

Cancellation fee (if any) $

Onsite payment
If you have internet access at the meeting, attendee and sponsor registrations can be completed online. Cash registration payments can be collected onsite. Otherwise, please accept payment at the meeting and fax to Master Brewers, Attn: Tori Clark. We do not recommend sending credit card information via e-mail since it is not secure.

Processing and Setup Fees

3.5% transaction fee will be charged on all registration and sponsorship revenue collected.
Master Brewers will provide the final list of registrants as an Excel file so that you can merge and print your own badges.

Organizer contact and Report information

Please provide the name and email address of each person to receive a weekly registration report.