Project Horseshoe Registration Form

horseshoe logo

Project Horseshoe

2011 Registration
The Sixth Annual Game Design Think Tank
November 3rd-6th, 2011, Ye Kendall Inn, Boerne, Texas

Complete this form and fax it to: (512) 551-0417

or mail it to:

Project Horseshoe
25550 Boerne Stage Road, #73
San Antonio, TX 78255

Attendee Name: _________________________________________
Job Title: ______________________________________________
Company Name: _________________________________________
Type of Company: ________________________________________
Address: ________________________________________________
________________________________________________
________________________________________________
Phone: ______________________ Fax: _____________________
E-mail: _________________________________________________
Referred by: ____________________________________________

Important Note:
Attendee switches must be made prior to 10/15/11. Switches made after that date are subject to a $250 fee.

Please fly into the San Antonio airport. Plan to arrive 11/3/11 before 4:00 PM. Plan to depart 11/6/11.

Your VIP Requests
Preferred beverages and snacks: __________________________________________________________________
Special dietary requests: ________________________________________________________________________
Roommate name if Double Occupancy is selected: _____________________________________________________

Payment - Your fee includes pretty much everything - all conference activities, meals, beverages, lodging, airport shuttle service, gratuities, taxes, and more. Please indicate the appropriate amount below. Registration fee is not refundable, but it is transferable.

Late Registration, beginning July 16, 2011:

____$2190.00 Single Occupancy

Method of payment
____ Check enclosed (Payable to Project Horseshoe)
Charge to my:
____Visa ____Mastercard ____American Express

Card number: ________________________________
Expiration date: ________________ (month/year)
Name on card: _______________________________

Cardholder signature:

____________________________________________

Billing address if different from above:
____________________________________________
____________________________________________
____________________________________________