Please follow the registration process carefully - it will take a few minutes as all arrangements for attendees will be made based upon this submission. Make sure to include all of the email addresses of those who should receive Conference updates. It is very important to include attendee cell phone numbers - we will be introducing interactive computer kiosks at the Austin Power Brokers Conference which will use cell-phone identification and will allow attendees to locate each other and schedule meetings or change appointments.

Information regarding shipments to the hotel, webcasting, presentation times, one-on-one scheduling will be available on this site/page soon.

PRESENTER & COMPANY INFORMATION
Please let us know who within your organization will be making the formal presentation.
This person's name will appear on webcast information. If you do not include presenter information, only the name of the company will appear on the webcast.

Presenter:
 
Presenter Title:
 
Company:
 
Ticker:
 
Company Address:
 
 
City:
 
State / Province:
 
Zip / Postal Code:
 
Country:
 
Email addresses for Conference information (other than those you will be registering below)





 

REGISTRATIONS AND RESERVATIONS

 Name:
 
Title:
 
Email:
 
Phone Number:
 
Cell Number - will be used to identify and locate attendees during the Conference:
 

          

           1 Seminole Way, Hollywood, Florida 33314
                            
 

ROOM PREFERENCE


  Non Smoking Smoking
NOTE: The Hard Rock Hotel offers very few smoking rooms; requests will be processed on a first come basis.

Bed Type:
  No Preference 1 King 1 Queen 2 Double Beds
NOTE: Bed preference cannot be guaranteed. Every effort will be made to provide your preference. Book early to avoid disappointment.

Flat-rate registration includes up to two nights deluxe accommodations (including all taxes and nightly gratuity), conference meals and beverages, amenities and access to Noble Financial's legendary social events and functions.

 Registration - Deluxe Standard Room - $749* Limited time early registration discount ($150 less than our 2008 rate). Rooms are approximately 410 sq. ft. Extra weekend nights $387 per night (includes all taxes and gratuity); June 11th rate: $287(includes all taxes and gratuity)

Not Staying at the Hard Rock Hotel / Share room $425

PLEASE NOTE: Noble Financial has made a substantial commitment to the Hard Rock Hotel in order to reserve the majority of rooms at the Hotel. If you live in the area or stay at an alternate hotel, there is a nominal registration fee of $425 per attendee. Registration fee is non-refundable. Use the Check-in / Check-out information below to advise of the dates you will attend.
________________________________________________

Dates / Events:
Sunday, June 7, 2009 - Day before conference; Conference Registration and Check-in 5:30p - 7:30p.
Evening Open.
Monday, June 8, 2009- Breakfast 6:30a; Opening Remarks 7:10a; Public Company Presentations / One-on-Ones / Panels  7:40a - 5:00p; Austin Power Brokers Ultimate Adventure in Capitalism Evening Event 7:15p - 10:30p.
Tuesday, June 9, 2009 - Breakfast 7:30a; Public Company Presentations / One-on-Ones / Panels 8:30a - 4:00p ; Conference Close 4:00p.

NOTE: Up to two nights accommodations are included with your registration; no discount for single-night stay.

Check-in Date:
  Select June 5 / extra cost June 6 / extra cost June 7 / 1 of 2 that may be included June 8 / 1 of 2 that may be included June 9 / 1 of 2 that may be included
Check-out Date:
  Select June 8 / 1 of 2 that may be included June 9 / 1 of 2 that may be included June 10 / 1 of 2 that may be included June 11 / extra cost

NOTE: Use the Check-in / Check-out information above to advise of the dates you will attend even if you are not checking into the hotel.

NOTE: Alternative accommodations are a significant distance from the Hard Rock Hotel and/or will offer considerably less amenities, luxury appointments and comfort.

ADDITIONAL ATTENDEES

Please enter any other individuals from your company that you wish to have registered and  processed on this credit card (you will be submitting credit card information below).

Second Attendee Name:
 
Title:
 
Email - IMPORTANT
 
Phone Number:
 
Cell Number - IMPORTANT
 

ROOM PREFERENCE

 Smoking:
  Select Non Smoking Smoking
Bed Type:
  No Preference Select 1 King 1 Queen 2 Double Beds

Registration - Deluxe Standard Room - $749* Limited time early registration discount ($150 less than our 2008 rate). Rooms are approximately 410 sq. ft. Extra weekend nights $387 per night (includes all taxes and gratuity); June 11th rate: $287(includes all taxes and gratuity)

Not Staying at Hard Rock Hotel / Share room $425


Check-in Date:
  Select June 5 / extra cost June 6 / extra cost June 7 / 1 of 2 that may be included June 8 / 1 of 2 that may be included June 9 / 1 of 2 that may be included
Check-out Date:
  Select June 8 / 1 of 2 that may be included June 9 / 1 of 2 that may be included June 10 / 1 of 2 that may be included June 11 / extra cost

Third Attendee Name:
 
Title:
 
Email - IMPORTANT
 
Phone Number:
 
Cell Number - IMPORTANT
 

ROOM PREFERENCE

 Smoking:
  Select Non Smoking Smoking
Bed Type:
  No Preference Select 1 King 1 Queen 2 Double Beds

Registration - Deluxe Standard Room - $749* Limited time early registration discount ($150 less than our 2008 rate). Rooms are approximately 410 sq. ft. Extra weekend nights $387 per night (includes all taxes and gratuity); June 11th rate: $287(includes all taxes and gratuity)

Not Staying at Hard Rock Hotel / Share room $425

Check-in Date:
  Select June 5 / extra cost June 6 / extra cost June 7 / 1 of 2 that may be included June 8 / 1 of 2 that may be included June 9 / 1 of 2 that may be included
Check-out Date:
  Select June 8 / 1 of 2 that may be included June 9 / 1 of 2 that may be included June 10 / 1 of 2 that may be included June 11 / extra cost

Fourth Attendee Name:
 
Title:
 
Email - IMPORTANT
 
Phone Number:
 
Cell Number - IMPORTANT
 

ROOM PREFERENCE

 Smoking:
  Select Non Smoking Smoking
Bed Type:
  No Preference Select 1 King 1 Queen 2 Double Beds


Registration - Deluxe Standard Room - $749* Limited time early registration discount ($150 less than our 2008 rate). Rooms are approximately 410 sq. ft. Extra weekend nights $387 per night (includes all taxes and gratuity); June 11th rate: $287(includes all taxes and gratuity)

Not Staying at Hard Rock Hotel / Share room $425

Check-in Date:
  Select June 5 / extra cost June 6 / extra cost June 7 / 1 of 2 that may be included June 8 / 1 of 2 that may be included June 9 / 1 of 2 that may be included
Check-out Date:
  Select June 8 / 1 of 2 that may be included June 9 / 1 of 2 that may be included June 10 / 1 of 2 that may be included June 11 / extra cost
 

CONFERENCE CONTACT PERSON - within your company:

NOTE: The person recorded below will receive all communication pertaining to conference reservations, meetings, events and updates. Please make sure the person you appoint is aware of his/her responsibility to distribute this information within your organization.

Name (record last name if registered above):
 
Title:
 
Email:
 
Phone Number:
 

INVESTOR RELATIONS CONTACT PERSON - external (if applicable)

Do you want all conference information sent to the individual named below?
Yes    No

Name:
 
Title:
 
IR Firm Name:
 
Address:
 
 
City:
 
State / Province:
 
Zip / Postal Code:
 
Country:
 
Email:
 
Phone Number:
 

 WEBCASTING at the MAD MAX Conference

NobleVideoHD™ webcasting of corporate presentations is required at Austin Power Brokers Conference, the cost of which is $1097 and the responsibility of each presenting company. NobleVideoHD™ employs the award-winning technology of Sonic Foundry's "Mediasite". This service is fully compliant with Regulation Fair Disclosure (Reg FD) obligations. Each live-cast will include slides from your PowerPoint presentation, audio and high resolution, LIVE, streaming video. You will be provided with a portal - dedicated link - for your website. In addition, presentations will be immediately archived and available to investors in the conference main corridor for review after your presentation. Although unlimited access may be available from your website, Noble Financial will require credentialed sign-in for viewing from the NobleVideoHD™ catelog.

Processing of payment - The cost of webcasting will be charged to the credit card of the first registration received from a presenting company.

AUTHORIZATION FOR NOBLE FINANCIAL TO
CHARGE CREDIT CARD

Type of Credit Card:
  Select Amex Master Card Visa
Credit Card Number:
 
Card Verification Number (last three digits of number on signature space - Visa & Master Card; four numbers top/right of AMEX card number) :
 

Expiration Date:
 
Name Exactly As On Credit Card:
 
Credit Card Billing Address:
 
 
City:
 
State / Province:
 
Zip / Postal Code:
 
Country:
 

CANCELLATION POLICY, OTHER CHARGES
AND AUTHORIZATION FOR NOBLE FINANCIAL
TO CHARGE YOUR ACCOUNT:

Conference registration is per person and includes up to two consecutive nights accommodation at the Hard Rock Hotel from the following date-range: June 7,8, 9 & 10. 2009.  All applicable room taxes and gratuities are included in the posted rate. Full posted rate for each room class applies for single-night stay. A charge of $1097 for webcasting services will be charged to the credit card of the first registrant from a company presenting at the Conference.  Noble Financial will make all accommodation and webcasting arrangements and send confirmations to attendees. A signature card will accompany confirmation; it must be signed and returned to confirm attendance at the Conference. A credit card imprint will be required by the resort at check-in.  Room service, telephone services and other incidental costs will be charged by the resort to the credit card upon check-out.

Cancellation Policy: Minimum cancellation fee of 50% of all registration fees and webcasting charge applies. If a registration or registrations are cancelled up to 30 calendar days prior to the conference date, 50% of conference registration cost charged to the credit card for each registrant cancelled will be refunded. If all registrants from a company scheduled to present at the Conference cancel up to 30 calendar days prior to the conference date, 50% of the webcasting fee will be refunded. All registrations and cancellations made after May 8, 2009 are non-refundable, without exception. Cancellation policy applies to any additional nights requested and charged to your card by Noble Financial. All cancellation requests must be made in writing (email is sufficient) and requester must receive confirmation of receipt by Noble Financial prior to May 8, 2009 to be eligible for a partial refund.  Substitution of paid registrants is acceptable at any time prior to June 7, 2009. The registration fee of $425 (not staying at the Hard Rock Hotel) is non-refundable regardless of when registration is made. Based upon availability, registrant may upgrade from this class of registration by paying the differential cost at the selected room-class of registration.

Authorization to Charge Credit Card: By agreeing to the terms and Cancellation Policy set forth above, you authorize Noble Financial to charge your credit card in the amount of the cost of the Registration, plus the cost of any additional nights selected, and a charge of $1097 for webcasting. 

  Have you read and agree with terms and conditions? I have read and agree with the refund policy and all terms and conditions of registration I do not agree with all registration terms and conditions

CORPORATE DESCRIPTION

As part of our service to presenting companies, we prepare a conference profile book for investor reference. A brief description of each company is provided, usually taken from a service such as Bloomberg or Yahoo Finance.  If you would prefer a profile different than that available from these services, please provide below. Profile submissions should be kept to 5 or 6 sentences. You can cut and paste from any Word Document.

This application is being submitted by (First & Last Name):