C2C Forum 2015 Registration

Registration
Please complete all fields in this registration form.

Due to the exclusivity of the C2C Forum, this invitation is for you and your guest only. Please do not pass this invitation to others in your organization.

By attending the C2C Forum, you are expected to:

     1. Attend all activities and business sessions.

     2. Be responsible for any additional charges.

     3. Be responsible for any late or cancellation fees.

For travel questions, contact Kristen Shields at (806) 373-2369 or email at kshields@microbeef.com.
Preferred Name on Name Tag:*

First NameLast Name
E-mail*

Confirmation Email
Business Name:*
UPS Shipping Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Phone:*

Area CodePhone Number
Alternate Phone:

Area CodePhone Number
Will you be bringing a guest? *

YesNo
Will you be extending your stay?*

YesNo
Extended Stay
We will reimburse up to $500 per person for flight expenses. Any amount in excess of $500 will be your responsibility. Submit flight itinerary to Kristen Shields for reimbursement at kshields@microbeef.com . Please include the address in which you want your reimbursement check mailed.
I understand and agree to the above statement regarding flight reimbursement:*

I understand and agree
The group rate of $245 per night (plus tax + resort fee) is only available AFTER the conclusion of the C2C Forum. Should you want to extend your stay prior to the forum, you will need to contact the hotel directly for rates. We will coordinate your reservation directly with the hotel.
Will you be staying at the Ojai Valley Inn and Spa during your extended stay?*

YesNo
Arrival Date*

MonthDayYear
Departure Date*

MonthDayYear
As the C2C Forum approaches, room confirmation numbers will become available from the hotel. These will be emailed to you as soon as they are received.
Regular Stay
The C2C Forum team will book your flights for you and your guest. Please choose from the options below, the flight plan that fits your travel needs.
Your LEGAL name as it appears on your government issued identification:*

First NameMiddle NameLast Name
Birthdate:*
Gender:*
Due to limited availability of flights these are the flights we are offering for the C2C Forum. These arrival and departures will have group transportation to and from the hotel provided.

Should you wish to book different flights you will be responsible for your transportation to and from the hotel. We will reimburse up to $500.00 per person for flight expenses. Any amount in excess of $500.00 will be your responsibility.

Please submit flight receipt to Kristen Shields for reimbursement at kshields@microbeef.com.
Departing Flight on Sunday, July 26th:*
Returning Flight on Wednesday, July 29th: *
Special Requests:
Once your flight is booked, your itinerary will be emailed to you. If you do not receive your itinerary within 48 hours of submission, or need to make any changes to our flight arrangements, please contact Kristen Shields by email or phone.
Guest Information
Guest Preferred Name on Name Tag:*

First NameLast Name
Guest LEGAL name as it appears on your government issued identification:*

First NameMiddle NameLast Name
Guest Birthdate: *
Guest Gender:*
Guest E-mail*
Will your guest attend the Monday Business Sessions - "Leading Across Generations"?*

YesNo
Activities
Your Monday Activity Selection*

Enjoy the ResortOjai Jeep TourOjai Food Walking TourGolfArtist Cottage - Paint GlassArtist Cottage - ScarfSpa
Which spa treatment would you like?
Limited to availability
What time would you like your treatment?
Times not guarenteed. We will confirm your time with an email prior to your arrival to Ojai.
Will you be bringing your own clubs?*

YesNo
Please provide your height:*
Are you left handed?*
Tuesday afternoon you will have time on your own to enjoy the resort or the town of Ojai. There are no scheduled group activities.
Guest's Monday Activity Selection*

Enjoy the ResortOjai Jeep TourOjai Food Walking TourGolfArtist Cottage - Paint GlassArtist Cottage - ScarfSpa
Will your guest be bringing their own clubs?*

YesNo
Please provide your guest's height:*
Is your guest left handed?*
Which spa treatment would your guest like?*
Limited to availabilty
What time would your guest prefer their treatment?*
Times not guarenteed. We will confirm your time with an email prior to your arrival to Ojai.
Agreement
by registering for the C2C Forum, you are granting the right to use the photographs resulting from the C2C Forum including, without limitations, the right to use them in any publicity materials, books, newspapers and magazine articles.

If you have any questions, please contact Shannon Wilson at swilson@elanco.com or 806-676-2067.
Should be Empty:

Registration

Extended Stay

Regular Stay

Guest Information

Activities

Agreement