37thHemispheric Congress & th 7 Miami Media and Film Market June 6st – 9th, 2016 PARTICIPANT REGISTRATION FORM INSCRIPCIÓN PARA LOS PARTICIPANTES PLEASE COMPLETE AND SEND TO/FAVOR COMPLETAR Y ENVIAR A: JOSE MATTO- Executive Director - Hemispheric Congress E-mail: jmatto@camacol.org Or Patricia Arias- Managing Director Film and Media Market E-Mail: patricia@camacol.org X Tel.: (305) 642-3870 • Fax: (305) 642-3961 MISPHERICCONGRESS OF Name/Nombre ______________________________________________Title/Cargo ________________________________________ Company, Organization/Compañía, Organización ____________________________________________________________________ Mailing Address/Dirección Postal _________________________________________________________________________________ City/Ciudad___________________________________________________ State/Estado____________________________________ Zip Code/Código Postal _________________________________________ Country/País____________________________________ E-Mail___________________________________Tel _______________________________Fax ______________________________ ____ Congress Registration PKG/InscripciónCongreso $450.00(member /socio ) Early Reg: $375.00 $500.00 (non member / no socio) Early Reg: $425.00 ____ Business Matchmaking Expo Booth 6x10 $800.00 (member / socio) Early Reg: $650.00 $1,000.00 (non member / no socio) Early Reg: $800.00 ____ Additional gala dinner / Boleto adicional cena de gala $150.00 Early Reg. 110.00 ____ Fla. Trade -(small / minority) Business Matchmaking ____ HC-MMFM – Film Market Sessions/ Mercado del Cine $95per person all access ____ Additional Breakfast / Boleto adicional desayuno $25.00 ____ Hemispheric Congress Sessions $95.00 (includes networking receptions, Trade Show Access, and Business Match Making) ____ Additional Luncheon / Boleto adicional almuerzo$35.00 Tues./ Martes ______ Wed. / Miercoles ______ Congress registration fee per person includes: participation in all working sessions of the Hemispheric Congress, seminars,(3) networking receptions (2) breakfasts and (2) business luncheons; to be held Tuesday and Wednesday, daily Expo access, (1) Gala Dinner on Thursday, June 9th, and business matchmaking sessions. La inscripción al congreso por persona incluye: participación en las sesiones plenarias del Congreso Hemisférico, seminarios, (3) recepciones,(2) desayunos y (2) almuerzosque se llevaran a cabo los diasmartes y miércoles, acceso a la exposición, (1) Cena de Gala que se llevara a cabo el jueves 9 de Junio, y participacion de la rueda de negocios. The Payment of the MMFM or Hemispheric Congress Sessions provides full Access to all sessions of the Hemispheric Congress. Film and Market & Hemispheric Congress Session Refer By:_________________________________ Event venue/Evento a celebrarse en: Biltmore Hotel - Conference Center of the Americas Address: 1200 Anastasia Avenue, Coral Gables, Florida 33134 Telephone Number: (305) 445-1926 *Special Hotel Room Rate $151.00 US per night (Taxes and Fees not Included) *Especial precio de alojamiento $151.00 US por noche (impuestos y cargos adicionales no incluidos) Registration and Payments may be processed with the following credit cards: VISA - MASTER CARD - AMERICAN EXPRESS - Convenient Easy Pay with Pay Pal online Credit Card # ____________________________________________ Expiration Date ___________________________ Signature: _______________________________________________ Security Code: ___________________________ ISPHERIC CON For mailing and general information, please contact the event office at: CAMACOL / Hemispheric Congress – 1401 West Flagler St., Miami, Fla. 33135. Attn: Jose Matto, Executive Director Hemispheric Congress – Email: jmatto@camacol.org Patricia Arias, Managing Director, Film and Media Market – Email:patricia@camacol.org Reimbursement for cancellations will not be made 15 days prior to the event - No se aceptarán reembolsos por cancelación desde 15 dias antes del evento.