Hollywood Conferences

OFFICIAL REGISTRATION FORM FOR
VIP PASSES & GALA TICKETS

Fill out the form below and mail it with payment to: HOLLYWOOD NETWORK, 433 No. Camden Drive, Suite 600, Beverly Hills, CA 90210, Credit Card Orders can be faxed to (310) 288-0060. You can also print a simple text copy of the form, download a text copy, or download an Adobe pdf version of it. If you have any questions or problems, email to awards@hollywoodawards.com or call 310-288-1882.

ATTENDEE INFORMATION

Name

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Company

_____________________________________________________________________

Street Address

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City/State/Zip/Country

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Telephone No.

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Email Address

_____________________________________________________________________
Please print or type clearly. It is essential that we have a good email address.


PACKAGE REQUESTED	PRICE	# OF TICKETS REQUESTED	TOTAL

THE HOLLYWOOD FILM FESTIVAL PASSES & TICKETS

THE HOLLYWOOD FILM FESTIVAL VIP PASS
(Includes Screenings, Most Special Events & Awards Ceremony) For event dates go to http://www.hollywoodawards.com/festival.html
Register by May 31 & save 50% Register by June 30 & save $500 Register by July 31 & save $400 Register AFTER July 31 & pay full cost	$645/pass $795/pass $895/pass $1,295/pass	________ ________ ________ ________	________ ________ ________ ________

HOLLYWOOD FILM AWARDS CEREMONY
For event dates go to http://www.hollywoodawards.com/festival.html
GALA CEREMONY TICKETS
Register by May 20 & save 50% Register by May 31 & save $400 Register by June 30 & save $300 Register by July 31 & save $200 Register AFTER July 31	$500/ticket $600/ticket $700/ticket $800/ticket $1,000/ticket	________ ________ ________ ________ ________	________ ________ ________ ________ ________

GALA CEREMONY TABLES
Stars Circle: Table for 12 (includes full-page ad in the HFF program)	$50,000	________	________
Gold Circle: Table for 12 (includes full-page ad in the HFF program)	$30,000	________	________
Silver Circle: Table for 12 (includes full-page ad in the HFF program)	$20,000	________	________

GRAND TOTAL			________

PAYMENT INFORMATION

Credit Card Type

________ Visa ________ MasterCard ________ American Express

Name on Card

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Credit Card Number

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Expiration Date

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Signature of Cardholder

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