Conference Registration Form

Traveluxe Conference Registration

Secure your spot now, space is limited.
Date

MonthDayYear
Date
Full Name*

First NameLast Name
Traveluxe E-mail*
example@example.com
Cell Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Who is your Team Leader?*
Tshirt Size*
Do you have any food allergies or special dietary needs?
HOTEL DETAILS:

Pricing for 3-nights at $279+ tax = $982.64

The event team will be sending a link to book your room soon. These rooms will require a credit card guarantee with the total charged 7 days before check-in.
YesNo
If yes, please provide your check-in and check-out dates:

MonthDayYear
Check-in date
MonthDayYear
Check-out date
Will you be sharing a room with another agent? If so, please list her name.
Our room block is full, please book the Westin using our IATA so you get commission or see if there is a TA rate.
You may pay using PayPal (friends), Venmo (friends), or any major credit card / debit card.

Please note: there is an additional fee with credit card transactions.
$249 Venmo$249 Paypal$256.75 Credit Card
$Venmo$Paypal$Credit Card
$500 Venmo$500 Paypal$566.74 Credit Card
Total
I acknowledge that my registration is not complete until payment is received. All registration payments are non-refundable.
Should be Empty:

Traveluxe Conference Registration