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		Your Information 
		Name  
		
		
		
		 
		
		
              	  
		
              	  
					Have you attended our Las Vegas 
		Conference before?     
		
              	  
					
		 
		
		
		
		Canadian Insurance Participant Registry
		
		
		
		(CIPR#) If you have one.
		 
		
		 
		
		
		 
		
		
		Company 
		
		
		  
		Address   
		
		
		        
		City   
		
		
		   
		Province 
		     
		 
		Postal Code  
		
		   
		Business Phone 
		
		
		Home/Cell Phone
		
		 
		 
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		 Your Email Address 
		
		
		
		 
		 
              	  
		
		
              	  
					Hotel Arrangements / Registration Fee / Webcast Fee      
					
              	  
					
					
              	  
					
		 
		 IN-PERSON REGISTRATION FEE: 
		 Prior to Nov. 30, 2025 - Staying at the Tuscany 
		Suites and Casino - $399.00   Staying Elsewhere OR book your room 
		through a 3rd Party- $474.00   
		 Dec. 1, 2025 to April 30, 2026 - Staying at the 
		Tuscany Suites and Casino - $449.00   Staying Elsewhere OR book your 
		room through a 3rd Party - $524.00   
		 After May 1, 2026 - Staying at the Tuscany Suites 
		and Casino - $499.00   Staying Elsewhere OR book your room through a 
		3rd Party - $574.00 
		  “LIVE” WEBCAST REGISTRATION FEE:
  The 
		registration fee to view the conference via “Live” webcast is ONLY 
		$299.00 
		 
				
				  
		 PLEASE BOOK YOUR ROOM DIRECTLY WITH THE TUSCANY  
		 OUR SPECIAL Corporate room rates will be $85.00 USD + 
		13.38% tax for September 21st to October 2nd, 
		2026 excluding Fridays and Saturdays during that time 
		which will be $189.00 USD + 13.385% tax.  
		 If you want a room with a Lanai (walk out), there is an additional 
		reduced charge of $50 for Pro-Seminars conference attendees.  
		 All the above posted rates include free internet access in your 
		accommodation room and there WILL NOT be a 
		resort fee (of $42.00 USD + daily tax) added to your room rate when you 
		book your accommodations with the Tuscany either online or at the 
		toll-free number below.  
		
					
              	  
              	  
		
		
		
					
              	  
              	  
		
              
              	  
		
              	  
              	  
		
					
              	  
		
							
							
						  
		
		  
		
		  
		
		  
		
		  
		
		
					Questions? Type anything you need help with in the box
					below. 
		
		 
		  
		  
		
		
		  
		
		The fine print:  
		
		NO CASH refunds. We will allow you to substitute your registration for 
		someone else, or we will carry a credit for you to use at any future 
		Pro-Seminars function or service.This Credit will be valid for 12 months 
		from your refund request date. 
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